Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.05 / $1,240.09 / $2,029.06	Professional		$801.05	$1,240.09	$2,029.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,143.60 / $1,143.60 / $1,870.79	Professional		$1,143.60	$1,143.60	$1,870.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $175.51 / $175.51 / $2,281.63	Facility		$175.51	$175.51	$2,281.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $175.51 / $175.51 / $2,281.63	Professional		$175.51	$175.51	$2,281.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.70 / $396.70 / $396.70	Facility		$396.70	$396.70	$396.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.33 / $396.70 / $408.60	Professional		$156.33	$396.70	$408.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,206.16 / $1,230.28 / $1,307.18	Professional		$1,206.16	$1,230.28	$1,307.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $396.70 / $396.70 / $396.70	Facility		$396.70	$396.70	$396.70
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $139.88 / $396.70 / $408.60	Professional		$139.88	$396.70	$408.60
United Facility/Professional Professional Modifier Low / Median / High Price $665.53 / $1,065.49 / $1,403.63	Professional		$665.53	$1,065.49	$1,403.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,230.28 / $1,230.28 / $1,230.28	Facility		$1,230.28	$1,230.28	$1,230.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,230.28 / $1,230.28 / $1,307.18	Professional		$1,230.28	$1,230.28	$1,307.18