Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.70 / $1,070.61 / $1,740.53	Professional		$727.70	$1,070.61	$1,740.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,408.80 / $1,408.80 / $1,761.00	Professional		$1,408.80	$1,408.80	$1,761.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $153.31 / $153.31 / $1,993.03	Facility		$153.31	$153.31	$1,993.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $153.31 / $153.31 / $1,993.03	Professional		$153.31	$153.31	$1,993.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $504.00 / $504.00	Facility		$504.00	$504.00	$504.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.43 / $504.00 / $1,126.17	Professional		$154.43	$504.00	$1,126.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,271.28 / $1,296.71 / $1,377.75	Professional		$1,271.28	$1,296.71	$1,377.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $504.00 / $504.00	Facility		$504.00	$504.00	$504.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $154.43 / $504.00 / $1,126.17	Professional		$154.43	$504.00	$1,126.17
United Facility/Professional Professional Modifier Low / Median / High Price $598.00 / $1,206.80 / $1,908.88	Professional		$598.00	$1,206.80	$1,908.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,296.71 / $1,296.71 / $1,296.71	Facility		$1,296.71	$1,296.71	$1,296.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,296.71 / $1,296.71 / $1,377.75	Professional		$1,296.71	$1,296.71	$1,377.75