Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.68 / $906.94 / $1,483.90	Professional		$496.68	$906.94	$1,483.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $956.33 / $956.33 / $1,368.20	Professional		$956.33	$956.33	$1,368.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $128.35 / $128.35 / $1,668.55	Facility		$128.35	$128.35	$1,668.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $128.35 / $128.35 / $1,668.55	Professional		$128.35	$128.35	$1,668.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.00 / $469.00 / $469.00	Facility		$469.00	$469.00	$469.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $398.65 / $1,758.75	Professional		$130.69	$398.65	$1,758.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $882.16 / $899.80 / $956.05	Professional		$882.16	$899.80	$956.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $469.00 / $469.00 / $469.00	Facility		$469.00	$469.00	$469.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $102.32 / $398.65 / $1,758.75	Professional		$102.32	$398.65	$1,758.75
United Facility/Professional Professional Modifier Low / Median / High Price $537.13 / $888.57 / $1,225.89	Professional		$537.13	$888.57	$1,225.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $899.80 / $899.80 / $899.80	Facility		$899.80	$899.80	$899.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $899.80 / $899.80 / $956.05	Professional		$899.80	$899.80	$956.05