Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.17 / $44.29 / $96.18	Facility	26	$31.17	$44.29	$96.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.84 / $185.69 / $624.54	Professional		$137.84	$185.69	$624.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.21 / $169.08 / $385.19	Professional		$135.21	$169.08	$385.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $51.89 / $177.41 / $229.30	Professional		$51.89	$177.41	$229.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.51 / $40.51 / $40.51	Facility	26	$40.51	$40.51	$40.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.02 / $220.08 / $519.11	Professional		$150.02	$220.08	$519.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $209.52 / $308.70	Professional		$156.47	$209.52	$308.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.71 / $207.67 / $326.61	Professional		$105.71	$207.67	$326.61
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $40.51 / $40.51 / $40.51	Facility	26	$40.51	$40.51	$40.51
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $159.81 / $219.31 / $491.88	Professional		$159.81	$219.31	$491.88
United Facility/Professional Professional Modifier Low / Median / High Price $132.68 / $195.11 / $417.88	Professional		$132.68	$195.11	$417.88
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $49.25 / $49.25 / $146.91	Facility	26	$49.25	$49.25	$146.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $218.48 / $421.23	Professional		$142.38	$218.48	$421.23