Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $72.44 / $109.65	Facility	26	$52.48	$72.44	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $371.54	Professional		$169.82	$199.53	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $389.05	Professional		$165.96	$204.17	$389.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $229.09 / $302.00	Professional		$75.86	$229.09	$302.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $58.88 / $85.11	Facility	26	$12.59	$58.88	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $295.12 / $758.58	Professional		$158.49	$295.12	$758.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $407.38	Professional		$208.93	$302.00	$407.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $398.11	Professional		$154.88	$194.98	$398.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $501.19	Professional		$245.47	$288.40	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $549.54	Professional		$147.91	$229.09	$549.54
Univera Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $61.66 / $186.21	Facility	26	$42.66	$61.66	$186.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $512.86	Professional		$154.88	$213.80	$512.86