Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.34 / $776.44 / $1,270.39	Professional		$547.34	$776.44	$1,270.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $781.38 / $781.38 / $1,171.32	Professional		$781.38	$781.38	$1,171.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $109.89 / $109.89 / $1,428.57	Facility		$109.89	$109.89	$1,428.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $109.89 / $109.89 / $1,428.57	Professional		$109.89	$109.89	$1,428.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.81 / $200.00 / $206.00	Professional		$98.81	$200.00	$206.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $755.20 / $770.30 / $818.45	Professional		$755.20	$770.30	$818.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $67.53 / $200.00 / $206.00	Professional		$67.53	$200.00	$206.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.45 / $706.85 / $1,009.79	Professional		$443.45	$706.85	$1,009.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $770.30 / $770.30 / $770.30	Facility		$770.30	$770.30	$770.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $770.30 / $770.30 / $818.45	Professional		$770.30	$770.30	$818.45