Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.43 / $11.98 / $22.79	Facility	26	$8.43	$11.98	$22.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $53.88 / $108.43	Professional		$44.38	$53.88	$108.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Professional		$40.65	$40.65	$40.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.37 / $55.10 / $112.24	Professional		$44.37	$55.10	$112.24
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $57.19 / $71.39	Professional		$14.19	$57.19	$71.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.12 / $84.40 / $178.72	Professional		$54.12	$84.40	$178.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.13 / $66.68 / $107.52	Professional		$54.13	$66.68	$107.52
Excellus BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.85 / $8.85 / $8.85	Facility	26	$8.85	$8.85	$8.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.95 / $59.39 / $95.69	Professional		$32.95	$59.39	$95.69
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $54.45 / $78.43 / $165.28	Professional		$54.45	$78.43	$165.28
United Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $62.06 / $128.62	Professional		$45.31	$62.06	$128.62
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $8.85 / $11.76 / $37.68	Facility	26	$8.85	$11.76	$37.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $63.93 / $121.21	Professional		$44.32	$63.93	$121.21