Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Facility		$35.00	$35.00	$35.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Professional		$35.00	$35.00	$35.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $11.95 / $30.00	Professional		$0.02	$11.95	$30.00
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 $38.47 / $38.47 / $85.00	Professional		$38.47	$38.47	$85.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.72 / $1.72 / $1.72	Facility		$1.72	$1.72	$1.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $1.72 / $1.72	Professional		$0.72	$1.72	$1.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $38.47 / $85.00	Professional		$38.47	$38.47	$85.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1.72 / $1.72 / $1.72	Facility		$1.72	$1.72	$1.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $1.72 / $1.72	Professional		$0.72	$1.72	$1.72