Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.54 / $1,057.08 / $1,729.53	Professional		$491.54	$1,057.08	$1,729.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $974.83 / $974.83 / $1,594.61	Professional		$974.83	$974.83	$1,594.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $149.60 / $149.60 / $1,944.80	Facility		$149.60	$149.60	$1,944.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $149.60 / $149.60 / $1,944.80	Professional		$149.60	$149.60	$1,944.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.04 / $860.04 / $860.04	Facility		$860.04	$860.04	$860.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.03 / $860.04 / $885.84	Professional		$731.03	$860.04	$885.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,028.08 / $1,048.64 / $1,114.19	Professional		$1,028.08	$1,048.64	$1,114.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $860.04 / $860.04 / $860.04	Facility		$860.04	$860.04	$860.04
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $119.25 / $860.04 / $885.84	Professional		$119.25	$860.04	$885.84
United Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $900.82 / $1,196.55	Professional		$553.94	$900.82	$1,196.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,048.64 / $1,048.64 / $1,048.64	Facility		$1,048.64	$1,048.64	$1,048.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,048.64 / $1,048.64 / $1,114.19	Professional		$1,048.64	$1,048.64	$1,114.19