Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.55 / $39.97 / $66.63	Facility	26	$23.55	$39.97	$66.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.64 / $156.51	Professional		$75.86	$95.64	$156.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.27 / $54.27 / $54.27	Professional		$54.27	$54.27	$54.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $110.52 / $242.61	Professional		$89.00	$110.52	$242.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $98.73 / $140.24	Professional		$41.50	$98.73	$140.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.80 / $135.04 / $295.52	Professional		$73.80	$135.04	$295.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $124.29 / $188.58	Professional		$95.27	$124.29	$188.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $124.67 / $200.88	Professional		$75.79	$124.67	$200.88
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $84.17 / $132.91 / $288.57	Professional		$84.17	$132.91	$288.57
United Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $99.76 / $224.42	Professional		$76.31	$99.76	$224.42
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $33.06 / $33.06 / $45.31	Facility	26	$33.06	$33.06	$45.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $85.72 / $136.16 / $243.79	Professional		$85.72	$136.16	$243.79