Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.95 / $855.15 / $1,399.09	Professional		$581.95	$855.15	$1,399.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.84 / $830.84 / $1,289.97	Professional		$830.84	$830.84	$1,289.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $121.02 / $121.02 / $1,573.26	Facility		$121.02	$121.02	$1,573.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $121.02 / $121.02 / $1,573.26	Professional		$121.02	$121.02	$1,573.26
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 $113.58 / $469.00 / $483.07	Professional		$113.58	$469.00	$483.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.68 / $848.31 / $901.33	Professional		$831.68	$848.31	$901.33
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 $74.37 / $469.00 / $483.07	Professional		$74.37	$469.00	$483.07
United Facility/Professional Professional Modifier Low / Median / High Price $471.50 / $782.06 / $1,073.67	Professional		$471.50	$782.06	$1,073.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $848.31 / $848.31 / $848.31	Facility		$848.31	$848.31	$848.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $848.31 / $848.31 / $901.33	Professional		$848.31	$848.31	$901.33