Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $42.00 / $57.05	Facility		$42.00	$42.00	$57.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.00 / $42.00	Professional		$42.00	$42.00	$42.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.42 / $53.42 / $106.84	Facility		$53.42	$53.42	$106.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.11 / $60.11 / $152.68	Professional		$60.11	$60.11	$152.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.23 / $62.23 / $62.23	Facility		$62.23	$62.23	$62.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $39.75 / $39.75	Professional		$39.75	$39.75	$39.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $53.42 / $97.76 / $332.00	Facility		$53.42	$97.76	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $72.12 / $115.92	Professional		$53.42	$72.12	$115.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $22.53 / $32.15	Facility		$22.53	$22.53	$32.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $32.15 / $32.15	Professional		$22.53	$32.15	$32.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $62.23 / $62.23 / $597.00	Facility		$62.23	$62.23	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $39.75 / $106.83	Professional		$38.90	$39.75	$106.83
United Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $32.04 / $68.87	Professional		$20.74	$32.04	$68.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $32.15 / $50.00	Facility		$32.15	$32.15	$50.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $32.15 / $32.15	Professional		$22.53	$32.15	$32.15