Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.50 / $833.50 / $1,363.78	Professional		$501.50	$833.50	$1,363.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $768.71 / $768.71 / $1,257.47	Professional		$768.71	$768.71	$1,257.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $117.96 / $117.96 / $1,533.48	Facility		$117.96	$117.96	$1,533.48
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $117.96 / $117.96 / $1,533.48	Professional		$117.96	$117.96	$1,533.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.45 / $344.45 / $344.45	Facility		$344.45	$344.45	$344.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $344.45 / $354.78	Professional		$105.06	$344.45	$354.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $810.72 / $826.93 / $878.62	Professional		$810.72	$826.93	$878.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $344.45 / $344.45 / $344.45	Facility		$344.45	$344.45	$344.45
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $94.03 / $344.45 / $354.78	Professional		$94.03	$344.45	$354.78
United Facility/Professional Professional Modifier Low / Median / High Price $436.94 / $695.23 / $1,160.92	Professional		$436.94	$695.23	$1,160.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $826.93 / $826.93 / $826.93	Facility		$826.93	$826.93	$826.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $826.93 / $826.93 / $878.62	Professional		$826.93	$826.93	$878.62