Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.16 / $805.75 / $1,318.57	Professional		$469.16	$805.75	$1,318.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $743.01 / $743.01 / $1,215.40	Professional		$743.01	$743.01	$1,215.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $114.05 / $114.05 / $1,482.65	Facility		$114.05	$114.05	$1,482.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $114.05 / $114.05 / $1,482.65	Professional		$114.05	$114.05	$1,482.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $840.94 / $840.94 / $840.94	Facility		$840.94	$840.94	$840.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.59 / $840.94 / $840.94	Professional		$101.59	$840.94	$840.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $783.60 / $799.27 / $849.23	Professional		$783.60	$799.27	$849.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $840.94 / $840.94 / $840.94	Facility		$840.94	$840.94	$840.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $90.88 / $840.94 / $840.94	Professional		$90.88	$840.94	$840.94
United Facility/Professional Professional Modifier Low / Median / High Price $422.15 / $685.43 / $959.98	Professional		$422.15	$685.43	$959.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $799.27 / $799.27 / $799.27	Facility		$799.27	$799.27	$799.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $799.27 / $799.27 / $849.23	Professional		$799.27	$799.27	$849.23