Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $85.11 / $144.54	Facility	26	$63.10	$85.11	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $251.19	Professional		$107.15	$138.04	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $251.19	Professional		$107.15	$128.82	$251.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $208.93	Professional		$89.13	$117.49	$208.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $69.18 / $97.72	Facility	26	$14.79	$69.18	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $199.53 / $512.86	Professional		$109.65	$199.53	$512.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $269.15	Professional		$134.90	$199.53	$269.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $295.12	Professional		$77.62	$128.82	$295.12
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $363.08	Professional		$162.18	$194.98	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $389.05	Professional		$95.50	$151.36	$389.05
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $72.44 / $229.09	Facility	26	$50.12	$72.44	$229.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $147.91 / $389.05	Professional		$77.62	$147.91	$389.05