Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $204.17 / $309.03	Facility	26	$147.91	$204.17	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $457.09	Professional		$169.82	$204.17	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $371.54	Professional		$154.88	$190.55	$371.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $218.78 / $295.12	Professional		$74.13	$218.78	$295.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $165.96 / $234.42	Facility	26	$35.48	$165.96	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $288.40 / $776.25	Professional		$158.49	$288.40	$776.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $446.68	Professional		$223.87	$331.13	$446.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $398.11	Professional		$131.83	$186.21	$398.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $501.19	Professional		$229.09	$281.84	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $524.81	Professional		$138.04	$218.78	$524.81
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $173.78 / $426.58	Facility	26	$120.23	$173.78	$426.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $537.03	Professional		$144.54	$199.53	$537.03