Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $50.12 / $114.82	Facility	26	$22.91	$50.12	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $537.03	Professional		$169.82	$234.42	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $575.44	Professional		$194.98	$245.47	$575.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $281.84 / $331.13	Professional		$50.12	$281.84	$331.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $39.81 / $56.23	Facility	26	$8.51	$39.81	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $1,000.00	Professional		$186.21	$331.13	$1,000.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $436.52	Professional		$223.87	$295.12	$436.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $218.78 / $398.11	Professional		$72.44	$218.78	$398.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $331.13 / $354.81	Professional		$275.42	$331.13	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $575.44	Professional		$169.82	$257.04	$575.44
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $37.15 / $120.23	Facility	26	$28.18	$37.15	$120.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $269.15 / $489.78	Professional		$144.54	$269.15	$489.78