Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.25 / $349.75 / $349.75	Facility		$261.25	$349.75	$349.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $285.89 / $486.09	Professional		$15.74	$285.89	$486.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.22 / $300.39 / $434.70	Professional		$205.22	$300.39	$434.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $47.23 / $47.23 / $613.99	Facility		$47.23	$47.23	$613.99
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $47.23 / $613.99	Professional		$47.23	$47.23	$613.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $318.39 / $318.39	Facility		$64.00	$318.39	$318.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.64 / $270.64 / $318.39	Professional		$270.64	$270.64	$318.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $44.77 / $44.77	Professional		$42.13	$44.77	$44.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $318.39 / $555.00	Facility		$64.00	$318.39	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $270.64 / $270.64 / $318.39	Professional		$270.64	$270.64	$318.39
United Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $28.14 / $61.29	Professional		$16.18	$28.14	$61.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $57.15	Facility		$42.13	$42.13	$57.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $44.77	Professional		$42.13	$42.13	$44.77