Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.88 / $1,283.70 / $1,283.70	Facility		$878.88	$1,283.70	$1,283.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $752.10 / $1,075.81 / $1,611.28	Professional		$752.10	$1,075.81	$1,611.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,031.53 / $1,031.53 / $2,578.82	Professional		$1,031.53	$1,031.53	$2,578.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $179.63 / $179.63 / $2,335.19	Facility		$179.63	$179.63	$2,335.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $179.63 / $179.63 / $2,335.19	Professional		$179.63	$179.63	$2,335.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $936.57 / $936.57 / $1,390.24	Facility		$936.57	$936.57	$1,390.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.08 / $796.08 / $936.57	Professional		$796.08	$796.08	$936.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.23 / $203.18 / $203.18	Professional		$191.23	$203.18	$203.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $936.57 / $1,390.24	Facility		$597.00	$936.57	$1,390.24
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $796.08 / $796.08 / $936.57	Professional		$796.08	$796.08	$936.57
United Facility/Professional Professional Modifier Low / Median / High Price $53.30 / $138.26 / $936.32	Professional		$53.30	$138.26	$936.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $191.23 / $191.23 / $191.23	Facility		$191.23	$191.23	$191.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $191.23 / $191.23 / $203.18	Professional		$191.23	$191.23	$203.18