Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.08 / $115.07 / $249.37	Facility	26	$94.08	$115.07	$249.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.27 / $402.08 / $600.00	Professional		$297.27	$402.08	$600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.18 / $323.12 / $937.07	Professional		$247.18	$323.12	$937.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $109.94 / $314.91 / $424.85	Professional		$109.94	$314.91	$424.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.80 / $86.80 / $86.80	Facility	26	$86.80	$86.80	$86.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.27 / $614.60 / $1,535.13	Professional		$295.27	$614.60	$1,535.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $323.82 / $448.89 / $711.99	Professional		$323.82	$448.89	$711.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.95 / $451.94 / $657.61	Professional		$268.95	$451.94	$657.61
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $86.80 / $86.80 / $86.80	Facility	26	$86.80	$86.80	$86.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $355.96 / $538.10 / $1,167.95	Professional		$355.96	$538.10	$1,167.95
United Facility/Professional Professional Modifier Low / Median / High Price $299.93 / $424.51 / $972.66	Professional		$299.93	$424.51	$972.66
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $81.27 / $81.27 / $223.73	Facility	26	$81.27	$81.27	$223.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $268.95 / $451.94 / $824.58	Professional		$268.95	$451.94	$824.58