Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.60 / $53.34 / $84.94	Facility	26	$23.60	$53.34	$84.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.85 / $181.01 / $308.55	Professional		$121.85	$181.01	$308.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.83 / $187.45 / $416.99	Professional		$147.83	$187.45	$416.99
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $52.91 / $209.67 / $262.58	Professional		$52.91	$209.67	$262.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.00 / $41.00 / $41.00	Facility	26	$41.00	$41.00	$41.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.26 / $250.51 / $798.24	Professional		$138.26	$250.51	$798.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $157.96 / $225.06 / $347.51	Professional		$157.96	$225.06	$347.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $221.15 / $319.23	Professional		$151.97	$221.15	$319.23
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $41.00 / $41.00 / $41.00	Facility	26	$41.00	$41.00	$41.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $153.51 / $267.82 / $627.90	Professional		$153.51	$267.82	$627.90
United Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $204.47 / $458.96	Professional		$146.27	$204.47	$458.96
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $38.40 / $38.40 / $128.83	Facility	26	$38.40	$38.40	$128.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $157.96 / $250.92 / $437.04	Professional		$157.96	$250.92	$437.04