Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.21 / $17.76 / $25.02	Facility	26	$12.21	$17.76	$25.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $57.43 / $87.02	Professional		$45.62	$57.43	$87.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.91 / $54.59 / $101.60	Professional		$44.91	$54.59	$101.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $51.46 / $71.63	Professional		$20.17	$51.46	$71.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.90 / $15.90 / $15.90	Facility	26	$15.90	$15.90	$15.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $79.77 / $168.05	Professional		$54.24	$79.77	$168.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $56.63 / $70.04 / $106.34	Professional		$56.63	$70.04	$106.34
Excellus BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $13.33 / $13.33 / $13.33	Facility	26	$13.33	$13.33	$13.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $63.02 / $106.02	Professional		$44.99	$63.02	$106.02
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $15.90 / $15.90 / $15.90	Facility	26	$15.90	$15.90	$15.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $55.02 / $72.97 / $159.69	Professional		$55.02	$72.97	$159.69
United Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $58.79 / $123.66	Professional		$44.00	$58.79	$123.66
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $13.33 / $17.29 / $58.49	Facility	26	$13.33	$17.29	$58.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $47.03 / $65.54 / $127.77	Professional		$47.03	$65.54	$127.77