Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.27 / $28.50 / $46.27	Facility	26	$13.27	$28.50	$46.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.68 / $182.64 / $363.41	Professional		$127.68	$182.64	$363.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.65 / $194.82 / $422.29	Professional		$153.65	$194.82	$422.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $29.43 / $238.80 / $268.23	Professional		$29.43	$238.80	$268.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.86 / $22.86 / $22.86	Facility	26	$22.86	$22.86	$22.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.31 / $236.37 / $697.61	Professional		$141.31	$236.37	$697.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.22 / $207.40 / $355.21	Professional		$151.22	$207.40	$355.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $161.46 / $278.29	Professional		$40.40	$161.46	$278.29
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $22.86 / $22.86 / $22.86	Facility	26	$22.86	$22.86	$22.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $262.18 / $603.29	Professional		$149.63	$262.18	$603.29
United Facility/Professional Professional Modifier Low / Median / High Price $146.93 / $207.18 / $419.23	Professional		$146.93	$207.18	$419.23
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $21.36 / $21.36 / $71.43	Facility	26	$21.36	$21.36	$71.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $132.53 / $234.54 / $417.47	Professional		$132.53	$234.54	$417.47