Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $398.11 / $549.54 / $3,019.95	Facility	26	$398.11	$549.54	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $4,265.80	Professional		$1,318.26	$1,659.59	$4,265.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $3,715.35	Professional		$1,122.02	$1,445.44	$3,715.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,479.11 / $2,089.30	Professional		$575.44	$1,479.11	$2,089.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $457.09 / $660.69	Facility	26	$97.72	$457.09	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $6,165.95	Professional		$1,479.11	$2,344.23	$6,165.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $2,754.23	Professional		$1,288.25	$1,905.46	$2,754.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,511.89	Professional		$1,202.26	$1,513.56	$2,511.89
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,187.76	Professional		$1,548.82	$1,949.84	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $3,630.78	Professional		$1,348.96	$1,778.28	$3,630.78
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $323.59 / $549.54 / $1,348.96	Facility	26	$323.59	$549.54	$1,348.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $3,388.44	Professional		$1,096.48	$1,819.70	$3,388.44