Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $57.60 / $72.00	Professional		$25.00	$57.60	$72.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.83 / $121.59 / $135.10	Professional		$114.83	$121.59	$135.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $145.05 / $231.29	Professional		$90.00	$145.05	$231.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $55,249.45 / $55,249.45	Professional		$25.00	$55,249.45	$55,249.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $26.25 / $26.25	Facility		$25.00	$26.25	$26.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $28.75 / $28.75	Professional		$28.75	$28.75	$28.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $555.00 / $597.00	Facility		$555.00	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $90.00 / $231.29	Professional		$38.40	$90.00	$231.29
United Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00