Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.75 / $104.96 / $262.31	Facility	26	$68.75	$104.96	$262.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.39 / $404.28 / $623.08	Professional		$283.39	$404.28	$623.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $366.02 / $915.22	Professional		$280.00	$366.02	$915.22
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $104.34 / $407.24 / $511.57	Professional		$104.34	$407.24	$511.57
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 $335.60 / $523.26 / $1,187.69	Professional		$335.60	$523.26	$1,187.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $344.90 / $460.17 / $749.47	Professional		$344.90	$460.17	$749.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.82 / $376.70 / $678.09	Professional		$107.82	$376.70	$678.09
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 $335.60 / $529.63 / $1,147.29	Professional		$335.60	$529.63	$1,147.29
United Facility/Professional Professional Modifier Low / Median / High Price $311.67 / $415.18 / $1,010.77	Professional		$311.67	$415.18	$1,010.77
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $78.95 / $78.95 / $107.72	Facility	26	$78.95	$78.95	$107.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $305.88 / $473.60 / $921.13	Professional		$305.88	$473.60	$921.13