Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,071.52 / $1,412.54	Professional		$602.56	$1,071.52	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $3,019.95	Professional		$1,412.54	$1,412.54	$3,019.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $1,995.26	Facility		$154.88	$154.88	$1,995.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $1,995.26	Professional		$154.88	$154.88	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $501.19 / $537.03	Professional		$154.88	$501.19	$537.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,380.38	Professional		$1,288.25	$1,288.25	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $870.96 / $1,445.44	Facility		$104.71	$870.96	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,202.26 / $1,905.46	Professional		$602.56	$1,202.26	$1,905.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,288.25	Facility		$1,258.93	$1,258.93	$1,288.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,288.25 / $1,380.38	Professional		$1,258.93	$1,288.25	$1,380.38