Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $567.33 / $1,033.27 / $1,690.59	Professional		$567.33	$1,033.27	$1,690.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $961.80 / $961.80 / $1,558.81	Professional		$961.80	$961.80	$1,558.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $146.22 / $146.22 / $1,900.99	Facility		$146.22	$146.22	$1,900.99
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $146.22 / $146.22 / $1,900.99	Professional		$146.22	$146.22	$1,900.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $1,223.23 / $1,728.75	Professional		$124.05	$1,223.23	$1,728.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,005.04 / $1,025.14 / $1,089.22	Professional		$1,005.04	$1,025.14	$1,089.22
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $116.57 / $130.25 / $1,728.75	Professional		$116.57	$130.25	$1,728.75
United Facility/Professional Professional Modifier Low / Median / High Price $535.24 / $861.71 / $1,169.47	Professional		$535.24	$861.71	$1,169.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,025.14 / $1,025.14 / $1,025.14	Facility		$1,025.14	$1,025.14	$1,025.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,025.14 / $1,025.14 / $1,089.22	Professional		$1,025.14	$1,025.14	$1,089.22