Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $967.52 / $1,300.14 / $1,364.27	Facility		$967.52	$1,300.14	$1,364.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $967.52 / $1,364.27 / $2,383.59	Professional		$967.52	$1,364.27	$2,383.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,120.40 / $1,120.40 / $2,259.57	Professional		$1,120.40	$1,120.40	$2,259.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $211.97 / $211.97 / $2,755.61	Facility		$211.97	$211.97	$2,755.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $211.97 / $211.97 / $2,755.61	Professional		$211.97	$211.97	$2,755.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.19 / $144.19 / $211.75	Facility		$144.19	$144.19	$211.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.56 / $144.19 / $211.75	Professional		$122.56	$144.19	$211.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,724.04 / $1,724.04 / $1,831.80	Professional		$1,724.04	$1,724.04	$1,831.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $144.19 / $144.19 / $211.75	Facility		$144.19	$144.19	$211.75
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $122.56 / $144.19 / $211.75	Professional		$122.56	$144.19	$211.75
United Facility/Professional Professional Modifier Low / Median / High Price $675.94 / $1,060.13 / $1,711.56	Professional		$675.94	$1,060.13	$1,711.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,724.04 / $1,724.04 / $1,724.04	Facility		$1,724.04	$1,724.04	$1,724.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,724.04 / $1,724.04 / $1,831.80	Professional		$1,724.04	$1,724.04	$1,831.80