Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.00 / $187.00 / $474.98	Professional		$187.00	$187.00	$474.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $98.27 / $98.27	Professional		$98.27	$98.27	$98.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.93 / $130.93 / $130.93	Facility		$130.93	$130.93	$130.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.93 / $130.93 / $130.93	Professional		$130.93	$130.93	$130.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $98.27 / $98.27	Professional		$98.27	$98.27	$98.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $130.93 / $130.93 / $130.93	Facility		$130.93	$130.93	$130.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $130.93 / $130.93 / $130.93	Professional		$130.93	$130.93	$130.93