Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.13 / $405.30 / $516.04	Facility		$327.13	$405.30	$516.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.13 / $516.04 / $751.63	Professional		$327.13	$516.04	$751.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.39 / $502.39 / $898.82	Professional		$502.39	$502.39	$898.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $74.95 / $74.95 / $974.48	Facility		$74.95	$74.95	$974.48
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $74.95 / $974.48	Professional		$74.95	$74.95	$974.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.80 / $370.80 / $370.80	Facility		$370.80	$370.80	$370.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $370.80 / $381.92	Professional		$63.74	$370.80	$381.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.77 / $685.77 / $728.63	Professional		$685.77	$685.77	$728.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $370.80 / $370.80 / $555.00	Facility		$370.80	$370.80	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $370.80 / $381.92	Professional		$63.74	$370.80	$381.92
United Facility/Professional Professional Modifier Low / Median / High Price $256.22 / $384.32 / $640.54	Professional		$256.22	$384.32	$640.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $476.52 / $685.77 / $685.77	Facility		$476.52	$685.77	$685.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $685.77 / $685.77 / $728.63	Professional		$685.77	$685.77	$728.63