Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $85.11 / $245.47	Facility	26	$57.54	$85.11	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $630.96	Professional		$151.36	$239.88	$630.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $588.84	Professional		$181.97	$239.88	$588.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $239.88 / $323.59	Professional		$81.28	$239.88	$323.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $63.10 / $89.13	Facility	26	$13.49	$63.10	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $398.11 / $1,412.54	Professional		$173.78	$398.11	$1,412.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $446.68	Professional		$234.42	$295.12	$446.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $389.05	Professional		$186.21	$269.15	$389.05
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $338.84	Professional		$263.03	$316.23	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $549.54	Professional		$194.98	$269.15	$549.54
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $58.88 / $194.98	Facility	26	$45.71	$58.88	$194.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $616.60	Professional		$186.21	$269.15	$616.60