Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.23 / $643.23 / $753.75	Facility		$643.23	$643.23	$753.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $700.00 / $923.89	Professional		$70.00	$700.00	$923.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.55 / $560.55 / $1,502.21	Professional		$560.55	$560.55	$1,502.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $103.89 / $103.89 / $1,350.57	Facility		$103.89	$103.89	$1,350.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $103.89 / $103.89 / $1,350.57	Professional		$103.89	$103.89	$1,350.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.29 / $578.29 / $578.29	Facility		$578.29	$578.29	$578.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.12 / $578.29 / $686.19	Professional		$75.12	$578.29	$686.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,146.15 / $1,146.15 / $1,217.79	Professional		$1,146.15	$1,146.15	$1,217.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $578.29 / $578.29 / $578.29	Facility		$578.29	$578.29	$578.29
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $75.12 / $578.29 / $686.19	Professional		$75.12	$578.29	$686.19
United Facility/Professional Professional Modifier Low / Median / High Price $47.09 / $112.38 / $796.87	Professional		$47.09	$112.38	$796.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $786.59 / $1,146.15 / $1,146.15	Facility		$786.59	$1,146.15	$1,146.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,146.15 / $1,146.15 / $1,217.79	Professional		$1,146.15	$1,146.15	$1,217.79