Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.78 / $902.20 / $1,291.83	Professional		$682.78	$902.20	$1,291.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.68 / $854.61 / $1,104.94	Professional		$683.68	$854.61	$1,104.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $150.33 / $1,954.29	Facility		$150.33	$150.33	$1,954.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $150.33 / $1,954.29	Professional		$150.33	$150.33	$1,954.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.59 / $816.59 / $816.59	Facility		$816.59	$816.59	$816.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.84 / $816.59 / $1,099.98	Professional		$96.84	$816.59	$1,099.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $868.42 / $1,085.53 / $1,085.53	Professional		$868.42	$1,085.53	$1,085.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,085.53 / $1,431.84 / $1,521.33	Professional		$1,085.53	$1,431.84	$1,521.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $816.59 / $816.59 / $816.59	Facility		$816.59	$816.59	$816.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $96.84 / $816.59 / $1,099.98	Professional		$96.84	$816.59	$1,099.98
United Facility/Professional Professional Modifier Low / Median / High Price $409.56 / $642.34 / $1,059.35	Professional		$409.56	$642.34	$1,059.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,431.84 / $1,431.84 / $1,431.84	Facility		$1,431.84	$1,431.84	$1,431.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,085.53 / $1,431.84 / $1,521.33	Professional		$1,085.53	$1,431.84	$1,521.33