Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.54 / $75.15 / $120.68	Facility	26	$46.54	$75.15	$120.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.44 / $187.55 / $370.79	Professional		$123.44	$187.55	$370.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.45 / $154.84 / $487.32	Professional		$118.45	$154.84	$487.32
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $75.18 / $130.13 / $205.32	Professional		$75.18	$130.13	$205.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.33 / $59.33 / $59.33	Facility	26	$59.33	$59.33	$59.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $273.27 / $711.01	Professional		$115.13	$273.27	$711.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $149.06 / $213.35 / $513.13	Professional		$149.06	$213.35	$513.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.37 / $212.90 / $327.07	Professional		$116.37	$212.90	$327.07
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $59.33 / $59.33 / $59.33	Facility	26	$59.33	$59.33	$59.33
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $129.51 / $259.47 / $711.01	Professional		$129.51	$259.47	$711.01
United Facility/Professional Professional Modifier Low / Median / High Price $118.49 / $169.69 / $507.54	Professional		$118.49	$169.69	$507.54
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $60.04 / $60.04 / $184.77	Facility	26	$60.04	$60.04	$184.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $212.90 / $377.60	Professional		$143.75	$212.90	$377.60