Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.49 / $909.02 / $1,487.42	Professional		$573.49	$909.02	$1,487.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $838.37 / $838.37 / $1,371.39	Professional		$838.37	$838.37	$1,371.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $128.66 / $128.66 / $1,672.58	Facility		$128.66	$128.66	$1,672.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $128.66 / $128.66 / $1,672.58	Professional		$128.66	$128.66	$1,672.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.88 / $707.88 / $707.88	Facility		$707.88	$707.88	$707.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.60 / $707.88 / $729.12	Professional		$114.60	$707.88	$729.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $884.16 / $901.84 / $958.21	Professional		$884.16	$901.84	$958.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $707.88 / $707.88 / $707.88	Facility		$707.88	$707.88	$707.88
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $102.55 / $707.88 / $729.12	Professional		$102.55	$707.88	$729.12
United Facility/Professional Professional Modifier Low / Median / High Price $476.44 / $781.16 / $1,028.90	Professional		$476.44	$781.16	$1,028.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $901.84 / $901.84 / $901.84	Facility		$901.84	$901.84	$901.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $901.84 / $901.84 / $958.21	Professional		$901.84	$901.84	$958.21