Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.16 / $567.29 / $928.29	Professional		$431.16	$567.29	$928.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.49 / $615.49 / $855.93	Professional		$615.49	$615.49	$855.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $80.29 / $1,043.77	Facility		$80.29	$80.29	$1,043.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $80.29 / $1,043.77	Professional		$80.29	$80.29	$1,043.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.20 / $428.20 / $428.20	Facility		$428.20	$428.20	$428.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $428.20 / $441.05	Professional		$84.14	$428.20	$441.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $551.84 / $562.88 / $598.05	Professional		$551.84	$562.88	$598.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $428.20 / $428.20 / $428.20	Facility		$428.20	$428.20	$428.20
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $64.01 / $428.20 / $441.05	Professional		$64.01	$428.20	$441.05
United Facility/Professional Professional Modifier Low / Median / High Price $345.85 / $556.79 / $754.59	Professional		$345.85	$556.79	$754.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $562.88 / $562.88 / $562.88	Facility		$562.88	$562.88	$562.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $562.88 / $562.88 / $598.05	Professional		$562.88	$562.88	$598.05