Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $652.54 / $1,079.54 / $1,766.38	Professional		$652.54	$1,079.54	$1,766.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $995.59 / $995.59 / $1,628.65	Professional		$995.59	$995.59	$1,628.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $152.79 / $152.79 / $1,986.27	Facility		$152.79	$152.79	$1,986.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $152.79 / $152.79 / $1,986.27	Professional		$152.79	$152.79	$1,986.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.03 / $511.03 / $511.03	Facility		$511.03	$511.03	$511.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.10 / $511.03 / $526.36	Professional		$136.10	$511.03	$526.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,050.08 / $1,071.08 / $1,138.02	Professional		$1,050.08	$1,071.08	$1,138.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $511.03 / $511.03 / $511.03	Facility		$511.03	$511.03	$511.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $121.79 / $511.03 / $526.36	Professional		$121.79	$511.03	$526.36
United Facility/Professional Professional Modifier Low / Median / High Price $564.85 / $918.37 / $1,221.92	Professional		$564.85	$918.37	$1,221.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,071.08 / $1,071.08 / $1,071.08	Facility		$1,071.08	$1,071.08	$1,071.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,071.08 / $1,071.08 / $1,138.02	Professional		$1,071.08	$1,071.08	$1,138.02