Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.52 / $375.00 / $447.00	Facility		$314.52	$375.00	$447.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.52 / $447.00 / $687.50	Professional		$314.52	$447.00	$687.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.04 / $427.04 / $764.81	Professional		$427.04	$427.04	$764.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $66.53 / $66.53 / $864.89	Facility		$66.53	$66.53	$864.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $66.53 / $66.53 / $864.89	Professional		$66.53	$66.53	$864.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.74 / $316.74 / $316.74	Facility		$316.74	$316.74	$316.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.97 / $316.74 / $326.24	Professional		$58.97	$316.74	$326.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $583.52 / $583.52 / $620.00	Professional		$583.52	$583.52	$620.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $316.74 / $316.74 / $555.00	Facility		$316.74	$316.74	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $58.97 / $316.74 / $326.24	Professional		$58.97	$316.74	$326.24
United Facility/Professional Professional Modifier Low / Median / High Price $233.59 / $336.70 / $536.71	Professional		$233.59	$336.70	$536.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $405.63 / $583.52 / $583.52	Facility		$405.63	$583.52	$583.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $583.52 / $583.52 / $620.00	Professional		$583.52	$583.52	$620.00