Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.62 / $788.27 / $1,297.33	Professional		$450.62	$788.27	$1,297.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,014.01 / $1,014.01 / $1,267.51	Professional		$1,014.01	$1,014.01	$1,267.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $112.91 / $112.91 / $1,467.83	Facility		$112.91	$112.91	$1,467.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $112.91 / $112.91 / $1,467.83	Professional		$112.91	$112.91	$1,467.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $833.40 / $833.40 / $833.40	Facility		$833.40	$833.40	$833.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.30 / $833.40 / $1,000.08	Professional		$116.30	$833.40	$1,000.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $915.03 / $933.33 / $991.66	Professional		$915.03	$933.33	$991.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $833.40 / $833.40 / $833.40	Facility		$833.40	$833.40	$833.40
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $116.30 / $833.40 / $1,000.08	Professional		$116.30	$833.40	$1,000.08
United Facility/Professional Professional Modifier Low / Median / High Price $445.72 / $791.93 / $1,114.30	Professional		$445.72	$791.93	$1,114.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $933.33 / $933.33 / $933.33	Facility		$933.33	$933.33	$933.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $933.33 / $933.33 / $991.66	Professional		$933.33	$933.33	$991.66