Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.75 / $36.36 / $453.54	Professional		$34.75	$36.36	$453.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $27.48 / $59.18	Professional		$22.20	$27.48	$59.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $104.76 / $104.76 / $104.76	Facility		$104.76	$104.76	$104.76
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $104.76 / $104.76 / $104.76	Professional		$104.76	$104.76	$104.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $710.60 / $710.60 / $710.60	Facility		$710.60	$710.60	$710.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.95 / $2,036.21 / $2,036.21	Professional		$901.95	$2,036.21	$2,036.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.79 / $607.19 / $1,316.97	Professional		$65.79	$607.19	$1,316.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $710.60 / $710.60 / $710.60	Facility		$710.60	$710.60	$710.60
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $901.95 / $2,036.21 / $2,036.21	Professional		$901.95	$2,036.21	$2,036.21
United Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $79.45 / $208.39	Professional		$48.50	$79.45	$208.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $584.47 / $607.19 / $1,162.76	Professional		$584.47	$607.19	$1,162.76