Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.92 / $103.80 / $235.59	Facility	26	$67.92	$103.80	$235.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.49 / $241.78 / $584.04	Professional		$185.49	$241.78	$584.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.21 / $195.05 / $536.96	Professional		$149.21	$195.05	$536.96
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $103.86 / $222.09 / $325.95	Professional		$103.86	$222.09	$325.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.69 / $83.69 / $83.69	Facility	26	$83.69	$83.69	$83.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.97 / $298.39 / $716.09	Professional		$211.97	$298.39	$716.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.12 / $290.32 / $506.13	Professional		$213.12	$290.32	$506.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.14 / $215.83 / $457.16	Professional		$56.14	$215.83	$457.16
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $83.69 / $83.69 / $83.69	Facility	26	$83.69	$83.69	$83.69
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $211.97 / $309.43 / $707.62	Professional		$211.97	$309.43	$707.62
United Facility/Professional Professional Modifier Low / Median / High Price $176.47 / $248.59 / $510.17	Professional		$176.47	$248.59	$510.17
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $78.95 / $78.95 / $114.24	Facility	26	$78.95	$78.95	$114.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $165.08 / $305.52 / $621.02	Professional		$165.08	$305.52	$621.02