Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.13 / $110.73 / $154.54	Facility	26	$83.13	$110.73	$154.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.29 / $154.91 / $226.59	Professional		$130.29	$154.91	$226.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.97 / $143.97 / $174.70	Professional		$143.97	$143.97	$174.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.20 / $127.07 / $282.38	Professional		$97.20	$127.07	$282.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $90.51 / $123.30 / $213.81	Professional		$90.51	$123.30	$213.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.96 / $97.96 / $97.96	Facility	26	$97.96	$97.96	$97.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $234.59 / $519.64	Professional		$115.61	$234.59	$519.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.94 / $202.42 / $298.44	Professional		$154.94	$202.42	$298.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.44 / $157.47 / $346.88	Professional		$123.44	$157.47	$346.88
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $137.53 / $141.03 / $149.33	Professional		$137.53	$141.03	$149.33
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $97.96 / $97.96 / $97.96	Facility	26	$97.96	$97.96	$97.96
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $136.41 / $217.58 / $476.49	Professional		$136.41	$217.58	$476.49
United Facility/Professional Professional Modifier Low / Median / High Price $133.43 / $177.15 / $397.17	Professional		$133.43	$177.15	$397.17
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $100.70 / $100.70 / $189.23	Facility	26	$100.70	$100.70	$189.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $123.46 / $176.56 / $385.97	Professional		$123.46	$176.56	$385.97