Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.11 / $44.15 / $59.25	Facility		$23.11	$44.15	$59.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $53.81 / $84.27	Professional		$23.11	$53.81	$84.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.94 / $71.22 / $135.87	Professional		$57.94	$71.22	$135.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.79 / $72.79 / $72.79	Professional		$72.79	$72.79	$72.79
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
United Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $20.00	Professional		$5.00	$5.00	$20.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $72.79 / $72.79 / $72.79	Facility		$72.79	$72.79	$72.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $72.79 / $72.79 / $240.44	Professional		$72.79	$72.79	$240.44