Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.13 / $842.70 / $955.30	Facility		$597.13	$842.70	$955.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $597.13 / $955.30 / $1,563.10	Professional		$597.13	$955.30	$1,563.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $2,948.50	Professional		$1,250.00	$1,250.00	$2,948.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $135.19 / $135.19 / $1,757.60	Facility		$135.19	$135.19	$1,757.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $135.19 / $1,757.60	Professional		$135.19	$135.19	$1,757.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $99.82 / $99.82	Facility		$99.82	$99.82	$99.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $84.85 / $121.19	Professional		$84.85	$84.85	$121.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $929.12 / $947.70 / $1,006.93	Professional		$929.12	$947.70	$1,006.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $99.82 / $555.00	Facility		$99.82	$99.82	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $99.82 / $121.19	Professional		$84.85	$99.82	$121.19
United Facility/Professional Professional Modifier Low / Median / High Price $53.97 / $107.94 / $831.11	Professional		$53.97	$107.94	$831.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $116.14 / $947.70 / $947.70	Facility		$116.14	$947.70	$947.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $947.70 / $947.70 / $1,006.93	Professional		$947.70	$947.70	$1,006.93