Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.66 / $1,347.83 / $2,205.39	Professional		$870.66	$1,347.83	$2,205.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,685.57 / $1,685.57 / $2,106.96	Professional		$1,685.57	$1,685.57	$2,106.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $190.76 / $190.76 / $2,479.88	Facility		$190.76	$190.76	$2,479.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $190.76 / $190.76 / $2,479.88	Professional		$190.76	$190.76	$2,479.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $975.26 / $975.26 / $975.26	Facility		$975.26	$975.26	$975.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.91 / $975.26 / $1,188.00	Professional		$169.91	$975.26	$1,188.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,310.98 / $1,337.20 / $1,420.78	Professional		$1,310.98	$1,337.20	$1,420.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $975.26 / $975.26 / $975.26	Facility		$975.26	$975.26	$975.26
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $169.91 / $975.26 / $1,188.00	Professional		$169.91	$975.26	$1,188.00
United Facility/Professional Professional Modifier Low / Median / High Price $748.09 / $1,169.80 / $1,724.56	Professional		$748.09	$1,169.80	$1,724.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,337.20 / $1,337.20 / $1,337.20	Facility		$1,337.20	$1,337.20	$1,337.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,337.20 / $1,337.20 / $1,420.78	Professional		$1,337.20	$1,337.20	$1,420.78