Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.30 / $1,040.71 / $1,702.80	Professional		$616.30	$1,040.71	$1,702.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.26 / $846.26 / $1,569.80	Professional		$846.26	$846.26	$1,569.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $147.29 / $147.29 / $1,914.77	Facility		$147.29	$147.29	$1,914.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $147.29 / $147.29 / $1,914.77	Professional		$147.29	$147.29	$1,914.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.95 / $1,232.30 / $2,564.06	Professional		$124.95	$1,232.30	$2,564.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,012.08 / $1,032.32 / $1,096.84	Professional		$1,012.08	$1,032.32	$1,096.84
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $117.38 / $131.19 / $2,051.25	Professional		$117.38	$131.19	$2,051.25
United Facility/Professional Professional Modifier Low / Median / High Price $539.16 / $868.03 / $1,230.64	Professional		$539.16	$868.03	$1,230.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,032.32 / $1,032.32 / $1,032.32	Facility		$1,032.32	$1,032.32	$1,032.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,032.32 / $1,032.32 / $1,096.84	Professional		$1,032.32	$1,032.32	$1,096.84