Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.62 / $132.68 / $189.52	Facility	26	$101.62	$132.68	$189.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.85 / $235.51 / $385.45	Professional		$179.85	$235.51	$385.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.66 / $231.82 / $435.95	Professional		$183.66	$231.82	$435.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $150.99 / $203.29 / $354.29	Professional		$150.99	$203.29	$354.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.15 / $118.15 / $118.15	Facility	26	$118.15	$118.15	$118.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.96 / $303.52 / $793.93	Professional		$140.96	$303.52	$793.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.76 / $306.37 / $448.06	Professional		$229.76	$306.37	$448.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $221.97 / $529.76	Professional		$166.00	$221.97	$529.76
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $118.15 / $118.15 / $118.15	Facility	26	$118.15	$118.15	$118.15
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $133.63 / $301.92 / $717.56	Professional		$133.63	$301.92	$717.56
United Facility/Professional Professional Modifier Low / Median / High Price $204.12 / $284.14 / $770.75	Professional		$204.12	$284.14	$770.75
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $121.98 / $121.98 / $384.47	Facility	26	$121.98	$121.98	$384.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $198.52 / $269.64 / $589.46	Professional		$198.52	$269.64	$589.46