Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $253.91	Facility		$30.00	$30.00	$253.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $38.04 / $76.08	Facility		$38.04	$38.04	$76.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $41.29 / $104.88	Professional		$40.09	$41.29	$104.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.32 / $44.32 / $44.32	Facility		$44.32	$44.32	$44.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $14.68 / $14.68	Professional		$14.68	$14.68	$14.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $69.61 / $332.00	Facility		$38.04	$69.61	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $51.35 / $82.55	Professional		$38.04	$51.35	$82.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $18.23 / $23.93	Facility		$18.23	$18.23	$23.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $23.93 / $24.41	Professional		$18.23	$23.93	$24.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $44.32 / $44.32 / $597.00	Facility		$44.32	$44.32	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $14.68 / $76.08	Professional		$14.68	$14.68	$76.08
United Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $22.82 / $46.69	Professional		$14.77	$22.82	$46.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $24.41 / $24.41 / $38.00	Facility		$24.41	$24.41	$38.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $23.93 / $24.41	Professional		$18.23	$23.93	$24.41