Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.47 / $978.42 / $1,109.23	Facility		$693.47	$978.42	$1,109.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.47 / $1,109.23 / $1,814.89	Professional		$693.47	$1,109.23	$1,814.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $963.72 / $963.72 / $2,409.30	Professional		$963.72	$963.72	$2,409.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $156.97 / $156.97 / $2,040.74	Facility		$156.97	$156.97	$2,040.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $156.97 / $156.97 / $2,040.74	Professional		$156.97	$156.97	$2,040.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.87 / $109.87 / $109.87	Facility		$109.87	$109.87	$109.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $93.39 / $144.21	Professional		$93.39	$93.39	$144.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,078.88 / $1,100.46 / $1,169.24	Professional		$1,078.88	$1,100.46	$1,169.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $109.87 / $109.87 / $555.00	Facility		$109.87	$109.87	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $93.39 / $144.21	Professional		$93.39	$93.39	$144.21
United Facility/Professional Professional Modifier Low / Median / High Price $62.67 / $122.47 / $892.71	Professional		$62.67	$122.47	$892.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,100.46 / $1,100.46 / $1,100.46	Facility		$1,100.46	$1,100.46	$1,100.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,100.46 / $1,100.46 / $1,169.24	Professional		$1,100.46	$1,100.46	$1,169.24