Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $104.71 / $316.23	Facility	26	$89.13	$104.71	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $645.65	Professional		$186.21	$239.88	$645.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $537.03	Professional		$147.91	$194.98	$537.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $223.87 / $323.59	Professional		$104.71	$223.87	$323.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $83.18 / $120.23	Facility	26	$18.20	$83.18	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $851.14	Professional		$218.78	$309.03	$851.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $524.81	Professional		$257.04	$346.74	$524.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $245.47 / $457.09	Professional		$67.61	$245.47	$457.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $645.65	Professional		$251.19	$302.00	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $524.81	Professional		$169.82	$234.42	$524.81
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $79.43 / $112.20	Facility	26	$54.95	$79.43	$112.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $512.86	Professional		$144.54	$263.03	$512.86