Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $10.48	Professional		$4.00	$4.00	$10.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $3.60 / $3.60	Professional		$3.60	$3.60	$3.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $22.00 / $22.00	Facility		$22.00	$22.00	$22.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $22.00	Professional		$22.00	$22.00	$22.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $597.00	Facility		$64.00	$64.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $3.60 / $5.95	Professional		$3.60	$3.60	$5.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $22.00 / $22.00	Facility		$22.00	$22.00	$22.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $22.00	Professional		$22.00	$22.00	$22.00