Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.46 / $77.06 / $125.60	Facility	26	$48.46	$77.06	$125.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.63 / $139.38 / $298.19	Professional		$121.63	$139.38	$298.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.97 / $121.54 / $319.39	Professional		$92.97	$121.54	$319.39
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $79.89 / $88.23 / $168.12	Professional		$79.89	$88.23	$168.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.06 / $63.06 / $63.06	Facility	26	$63.06	$63.06	$63.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.24 / $214.53 / $397.58	Professional		$85.24	$214.53	$397.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $111.05 / $142.08 / $227.30	Professional		$111.05	$142.08	$227.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.85 / $112.22 / $206.28	Professional		$90.85	$112.22	$206.28
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $63.06 / $63.06 / $63.06	Facility	26	$63.06	$63.06	$63.06
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $115.46 / $214.53 / $471.61	Professional		$115.46	$214.53	$471.61
United Facility/Professional Professional Modifier Low / Median / High Price $89.91 / $127.33 / $261.01	Professional		$89.91	$127.33	$261.01
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $64.05 / $64.05 / $191.08	Facility	26	$64.05	$64.05	$191.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $91.33 / $138.94 / $262.93	Professional		$91.33	$138.94	$262.93