Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.81 / $148.53 / $210.26	Facility	26	$113.81	$148.53	$210.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $342.31 / $416.23 / $755.37	Professional	TC	$342.31	$416.23	$755.37
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $300.70 / $373.42 / $799.61	Professional	TC	$300.70	$373.42	$799.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $132.76 / $132.76 / $132.76	Facility	26	$132.76	$132.76	$132.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $337.99 / $627.90 / $1,464.91	Professional	TC	$337.99	$627.90	$1,464.91
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $514.24 / $666.04 / $888.23	Professional	TC	$514.24	$666.04	$888.23
Excellus BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $312.66 / $430.60 / $1,000.13	Professional	TC	$312.66	$430.60	$1,000.13
MVP Health Care Facility/Professional Facility Modifier 26 Low / Median / High Price $132.76 / $132.76 / $132.76	Facility	26	$132.76	$132.76	$132.76
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $350.81 / $603.55 / $1,387.32	Professional	TC	$350.81	$603.55	$1,387.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $352.98 / $477.05 / $1,085.43	Professional	TC	$352.98	$477.05	$1,085.43
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $137.02 / $137.02 / $256.86	Facility	26	$137.02	$137.02	$256.86
Univera Facility/Professional Professional Modifier TC Low / Median / High Price $361.01 / $511.70 / $1,112.82	Professional	TC	$361.01	$511.70	$1,112.82