Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.03 / $114.33 / $205.54	Facility	26	$80.03	$114.33	$205.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.24 / $179.57 / $278.97	Professional		$137.24	$179.57	$278.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.83 / $154.47 / $368.66	Professional		$121.83	$154.47	$368.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $91.74 / $130.75 / $222.49	Professional		$91.74	$130.75	$222.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.91 / $102.91 / $102.91	Facility	26	$102.91	$102.91	$102.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.47 / $253.20 / $590.28	Professional		$160.47	$253.20	$590.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $184.56 / $232.55 / $356.20	Professional		$184.56	$232.55	$356.20
Excellus BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $85.03 / $85.03 / $85.03	Facility	26	$85.03	$85.03	$85.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $153.58 / $302.81	Professional		$101.00	$153.58	$302.81
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $102.91 / $102.91 / $102.91	Facility	26	$102.91	$102.91	$102.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $161.74 / $236.87 / $517.69	Professional		$161.74	$236.87	$517.69
United Facility/Professional Professional Modifier Low / Median / High Price $141.28 / $193.67 / $395.74	Professional		$141.28	$193.67	$395.74
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $166.40 / $166.40 / $375.60	Facility	26	$166.40	$166.40	$375.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $143.63 / $245.74 / $414.78	Professional		$143.63	$245.74	$414.78