Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.24 / $76.05 / $124.52	Facility	26	$47.24	$76.05	$124.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $127.84 / $338.45	Professional		$104.51	$127.84	$338.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.02 / $139.90 / $452.98	Professional		$107.02	$139.90	$452.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $110.67 / $188.23	Professional		$77.56	$110.67	$188.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.73 / $60.73 / $60.73	Facility	26	$60.73	$60.73	$60.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.26 / $245.23 / $710.74	Professional		$101.26	$245.23	$710.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $130.40 / $176.77 / $513.21	Professional		$130.40	$176.77	$513.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.38 / $147.54 / $264.42	Professional		$117.38	$147.54	$264.42
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $60.73 / $60.73 / $60.73	Facility	26	$60.73	$60.73	$60.73
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $112.85 / $234.52 / $702.57	Professional		$112.85	$234.52	$702.57
United Facility/Professional Professional Modifier Low / Median / High Price $113.45 / $160.66 / $506.94	Professional		$113.45	$160.66	$506.94
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $61.57 / $61.57 / $184.89	Facility	26	$61.57	$61.57	$184.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $125.91 / $186.46 / $334.15	Professional		$125.91	$186.46	$334.15