Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.45 / $803.22 / $1,163.99	Facility		$645.45	$803.22	$1,163.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.45 / $1,163.99 / $1,472.57	Professional		$645.45	$1,163.99	$1,472.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,018.78 / $1,018.78 / $1,807.73	Professional		$1,018.78	$1,018.78	$1,807.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $139.66 / $1,815.58	Facility		$139.66	$139.66	$1,815.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $139.66 / $1,815.58	Professional		$139.66	$139.66	$1,815.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.10 / $881.10 / $881.10	Facility		$881.10	$881.10	$881.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.82 / $881.10 / $907.53	Professional		$121.82	$881.10	$907.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,339.87 / $1,339.87 / $1,423.61	Professional		$1,339.87	$1,339.87	$1,423.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $881.10 / $881.10 / $881.10	Facility		$881.10	$881.10	$881.10
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $121.82 / $881.10 / $907.53	Professional		$121.82	$881.10	$907.53
United Facility/Professional Professional Modifier Low / Median / High Price $665.57 / $1,003.40 / $1,481.60	Professional		$665.57	$1,003.40	$1,481.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $931.35 / $1,339.87 / $1,339.87	Facility		$931.35	$1,339.87	$1,339.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,339.87 / $1,339.87 / $1,423.61	Professional		$1,339.87	$1,339.87	$1,423.61