Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.95 / $999.04 / $1,634.60	Professional		$627.95	$999.04	$1,634.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.25 / $812.25 / $1,507.17	Professional		$812.25	$812.25	$1,507.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $141.38 / $141.38 / $1,838.07	Facility		$141.38	$141.38	$1,838.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $141.38 / $141.38 / $1,838.07	Professional		$141.38	$141.38	$1,838.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,042.44 / $1,042.44 / $1,042.44	Facility		$1,042.44	$1,042.44	$1,042.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.94 / $886.07 / $1,672.50	Professional		$125.94	$886.07	$1,672.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $971.76 / $991.20 / $1,053.15	Professional		$971.76	$991.20	$1,053.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,042.44 / $1,042.44 / $1,042.44	Facility		$1,042.44	$1,042.44	$1,042.44
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $112.70 / $886.07 / $1,672.50	Professional		$112.70	$886.07	$1,672.50
United Facility/Professional Professional Modifier Low / Median / High Price $536.14 / $856.08 / $1,130.73	Professional		$536.14	$856.08	$1,130.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $991.20 / $991.20 / $991.20	Facility		$991.20	$991.20	$991.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $991.20 / $991.20 / $1,053.15	Professional		$991.20	$991.20	$1,053.15