Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.51 / $35.58 / $50.91	Facility	26	$27.51	$35.58	$50.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.10 / $176.51 / $279.49	Professional		$136.10	$176.51	$279.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.97 / $130.57 / $305.68	Professional		$102.97	$130.57	$305.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $40.44 / $180.75 / $221.19	Professional		$40.44	$180.75	$221.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.43 / $31.43 / $31.43	Facility	26	$31.43	$31.43	$31.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.46 / $216.43 / $549.34	Professional		$118.46	$216.43	$549.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $167.98 / $216.64 / $311.27	Professional		$167.98	$216.64	$311.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.68 / $162.22 / $399.51	Professional		$141.68	$162.22	$399.51
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $151.18 / $151.18 / $151.18	Professional		$151.18	$151.18	$151.18
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $31.43 / $31.43 / $31.43	Facility	26	$31.43	$31.43	$31.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $192.39 / $445.36	Professional		$110.00	$192.39	$445.36
United Facility/Professional Professional Modifier Low / Median / High Price $111.41 / $162.97 / $394.09	Professional		$111.41	$162.97	$394.09
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $32.34 / $32.34 / $103.78	Facility	26	$32.34	$32.34	$103.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $149.30 / $197.44 / $444.52	Professional		$149.30	$197.44	$444.52