Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $134.90 / $288.40	Facility	26	$123.03	$134.90	$288.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $125.89 / $302.00	Professional	26	$89.13	$125.89	$302.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $87.10 / $204.17	Professional	26	$70.79	$87.10	$204.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $100.00 / $141.25	Facility	26	$21.38	$100.00	$141.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $128.82 / $407.38	Professional	26	$64.57	$128.82	$407.38
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $117.49 / $186.21	Professional	26	$91.20	$117.49	$186.21
Excellus BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $100.00 / $186.21	Professional	26	$83.18	$100.00	$186.21
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $125.89 / $128.82	Professional	26	$104.71	$125.89	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $91.20 / $204.17	Professional	26	$67.61	$91.20	$204.17
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $93.33 / $109.65	Facility	26	$66.07	$93.33	$109.65
Univera Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $104.71 / $251.19	Professional	26	$72.44	$104.71	$251.19