Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $13.26 / $13.26	Facility		$10.76	$13.26	$13.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $12.95 / $13.26	Professional		$10.76	$12.95	$13.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $14.82 / $34.49	Professional		$12.48	$14.82	$34.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Facility		$13.26	$13.26	$13.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $22.94	Facility		$13.26	$13.26	$22.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $13.26 / $13.26	Professional		$11.93	$13.26	$13.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.78 / $13.78	Facility		$13.26	$13.78	$13.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.78	Professional		$13.26	$13.26	$13.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $597.00	Facility		$13.26	$13.26	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $19.50	Professional		$13.00	$13.00	$19.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Facility		$13.26	$13.26	$13.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.78	Professional		$13.26	$13.26	$13.78