Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.61 / $115.52 / $119.37	Facility		$90.61	$115.52	$119.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.61 / $115.52 / $227.50	Professional		$90.61	$115.52	$227.50
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 $156.79 / $192.66 / $364.69	Professional		$156.79	$192.66	$364.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $141.63 / $141.63	Professional		$108.65	$141.63	$141.63
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 $15.00 / $25.00 / $40.00	Professional		$15.00	$25.00	$40.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $127.82 / $127.82 / $127.82	Facility		$127.82	$127.82	$127.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $127.82 / $141.63 / $141.63	Professional		$127.82	$141.63	$141.63