Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $91.20 / $141.25	Facility	26	$45.71	$91.20	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $109.65 / $229.09	Professional		$57.54	$109.65	$229.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $302.00 / $302.00	Professional	50	$302.00	$302.00	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $269.15	Professional		$107.15	$125.89	$269.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $186.21 / $398.11	Professional	50	$158.49	$186.21	$398.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $102.33	Professional		$46.77	$56.23	$102.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $43.65 / $61.66	Facility	26	$9.33	$43.65	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $177.83 / $380.19	Professional		$63.10	$177.83	$380.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $138.04	Professional		$70.79	$95.50	$138.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $107.15 / $162.18	Professional		$63.10	$107.15	$162.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $181.97	Professional		$104.71	$125.89	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $95.50 / $234.42	Professional		$58.88	$95.50	$234.42
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $45.71 / $234.42	Facility	26	$31.62	$45.71	$234.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $100.00 / $173.78	Professional		$60.26	$100.00	$173.78