Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.39 / $670.94 / $1,097.80	Professional		$321.39	$670.94	$1,097.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $618.75 / $618.75 / $1,012.26	Professional		$618.75	$618.75	$1,012.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $94.96 / $94.96 / $1,234.48	Facility		$94.96	$94.96	$1,234.48
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $94.96 / $94.96 / $1,234.48	Professional		$94.96	$94.96	$1,234.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.00 / $134.00 / $134.00	Facility		$134.00	$134.00	$134.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.58 / $134.00 / $138.02	Professional		$84.58	$134.00	$138.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.64 / $665.69 / $707.30	Professional		$652.64	$665.69	$707.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $134.00 / $134.00 / $134.00	Facility		$134.00	$134.00	$134.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $134.00 / $138.02	Professional		$58.36	$134.00	$138.02
United Facility/Professional Professional Modifier Low / Median / High Price $351.05 / $559.57 / $759.41	Professional		$351.05	$559.57	$759.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $665.69 / $665.69 / $665.69	Facility		$665.69	$665.69	$665.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $665.69 / $665.69 / $707.30	Professional		$665.69	$665.69	$707.30