Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,025.05 / $1,025.05 / $1,025.05	Facility		$1,025.05	$1,025.05	$1,025.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,025.05 / $1,025.05 / $1,025.05	Professional		$1,025.05	$1,025.05	$1,025.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.86 / $1,003.72 / $1,775.51	Professional		$711.86	$1,003.72	$1,775.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $711.72 / $711.72 / $711.72	Facility		$711.72	$711.72	$711.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $604.96 / $711.72 / $1,775.51	Professional		$604.96	$711.72	$1,775.51