Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.60 / $34.50 / $48.58	Facility	26	$26.60	$34.50	$48.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.74 / $157.72 / $238.69	Professional		$122.74	$157.72	$238.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.05 / $125.96 / $289.29	Professional		$101.05	$125.96	$289.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $39.21 / $164.99 / $204.20	Professional		$39.21	$164.99	$204.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.71 / $30.71 / $30.71	Facility	26	$30.71	$30.71	$30.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.89 / $200.66 / $498.26	Professional		$110.89	$200.66	$498.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $149.83 / $197.90 / $284.68	Professional		$149.83	$197.90	$284.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.48 / $148.59 / $358.18	Professional		$127.48	$148.59	$358.18
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $30.71 / $30.71 / $30.71	Facility	26	$30.71	$30.71	$30.71
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $110.36 / $183.31 / $417.44	Professional		$110.36	$183.31	$417.44
United Facility/Professional Professional Modifier Low / Median / High Price $115.35 / $155.01 / $370.35	Professional		$115.35	$155.01	$370.35
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $31.66 / $31.66 / $104.09	Facility	26	$31.66	$31.66	$104.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $132.35 / $175.87 / $398.54	Professional		$132.35	$175.87	$398.54