Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.00 / $52.70 / $73.86	Facility	26	$40.00	$52.70	$73.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.15 / $104.16 / $179.54	Professional		$79.15	$104.16	$179.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.88 / $98.92 / $197.17	Professional		$77.88	$98.92	$197.17
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $59.62 / $98.73 / $158.35	Professional		$59.62	$98.73	$158.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.68 / $46.68 / $46.68	Facility	26	$46.68	$46.68	$46.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.36 / $134.41 / $359.26	Professional		$78.36	$134.41	$359.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $144.47 / $209.23	Professional		$109.99	$144.47	$209.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.74 / $103.96 / $243.01	Professional		$82.74	$103.96	$243.01
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $46.68 / $46.68 / $46.68	Facility	26	$46.68	$46.68	$46.68
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $73.04 / $132.58 / $318.17	Professional		$73.04	$132.58	$318.17
United Facility/Professional Professional Modifier Low / Median / High Price $84.71 / $121.08 / $300.18	Professional		$84.71	$121.08	$300.18
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $48.13 / $48.13 / $152.68	Facility	26	$48.13	$48.13	$152.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $89.90 / $123.69 / $270.39	Professional		$89.90	$123.69	$270.39