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 $32.70 / $32.70 / $83.06	Professional		$32.70	$32.70	$83.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $38.00 / $38.00	Facility		$38.00	$38.00	$38.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $18.70	Professional		$18.70	$18.70	$18.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $10.10 / $10.10	Professional		$10.10	$10.10	$10.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $10.10 / $10.10	Facility		$10.10	$10.10	$10.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $10.10 / $10.10	Professional		$3.64	$10.10	$10.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $38.00 / $597.00	Facility		$38.00	$38.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $18.70	Professional		$18.70	$18.70	$18.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $3.64 / $3.64	Facility		$3.64	$3.64	$3.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $10.10 / $10.10	Professional		$3.64	$10.10	$10.10