Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.44 / $835.21 / $1,366.64	Professional		$528.44	$835.21	$1,366.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $772.45 / $772.45 / $1,259.95	Professional		$772.45	$772.45	$1,259.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $118.21 / $118.21 / $1,536.73	Facility		$118.21	$118.21	$1,536.73
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $118.21 / $118.21 / $1,536.73	Professional		$118.21	$118.21	$1,536.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $450.00 / $463.50	Professional		$105.60	$450.00	$463.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.32 / $828.57 / $880.35	Professional		$812.32	$828.57	$880.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $94.22 / $450.00 / $463.50	Professional		$94.22	$450.00	$463.50
United Facility/Professional Professional Modifier Low / Median / High Price $439.00 / $713.94 / $1,189.90	Professional		$439.00	$713.94	$1,189.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $828.57 / $828.57 / $828.57	Facility		$828.57	$828.57	$828.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $828.57 / $828.57 / $880.35	Professional		$828.57	$828.57	$880.35