Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.78 / $1,012.80 / $1,214.73	Facility		$879.78	$1,012.80	$1,214.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $764.54 / $1,051.77 / $1,856.80	Professional		$764.54	$1,051.77	$1,856.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,220.20 / $1,220.20 / $2,137.62	Professional		$1,220.20	$1,220.20	$2,137.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $173.71 / $173.71 / $2,258.23	Facility		$173.71	$173.71	$2,258.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $173.71 / $173.71 / $2,258.23	Professional		$173.71	$173.71	$2,258.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.47 / $1,122.47 / $1,459.20	Facility		$1,122.47	$1,122.47	$1,459.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.57 / $1,122.47 / $1,459.20	Professional		$341.57	$1,122.47	$1,459.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,631.02 / $1,631.02 / $1,732.96	Professional		$1,631.02	$1,631.02	$1,732.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,122.47 / $1,122.47 / $1,459.20	Facility		$1,122.47	$1,122.47	$1,459.20
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $142.99 / $1,122.47 / $1,459.20	Professional		$142.99	$1,122.47	$1,459.20
United Facility/Professional Professional Modifier Low / Median / High Price $675.14 / $1,072.27 / $1,774.08	Professional		$675.14	$1,072.27	$1,774.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,133.75 / $1,631.02 / $1,631.02	Facility		$1,133.75	$1,631.02	$1,631.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,631.02 / $1,631.02 / $1,732.96	Professional		$1,631.02	$1,631.02	$1,732.96