Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $26.30 / $39.81	Facility	26	$19.50	$26.30	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $181.97	Professional		$67.61	$85.11	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $162.18	Professional		$74.13	$87.10	$162.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $100.00 / $128.82	Professional		$27.54	$100.00	$128.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.68 / $21.88 / $31.62	Facility	26	$4.68	$21.88	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $120.23 / $346.74	Professional		$57.54	$120.23	$346.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $177.83	Professional		$91.20	$131.83	$177.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $173.78	Professional		$57.54	$81.28	$173.78
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $218.78	Professional		$102.33	$125.89	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $97.72 / $239.88	Professional		$54.95	$97.72	$239.88
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $22.91 / $72.44	Facility	26	$15.85	$22.91	$72.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $208.93	Professional		$58.88	$89.13	$208.93