Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $3.75 / $3.75	Facility		$3.75	$3.75	$3.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $3.75	Professional		$3.75	$3.75	$3.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.51 / $58.51 / $58.51	Professional		$58.51	$58.51	$58.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.80 / $30.80 / $60.27	Facility		$30.80	$30.80	$60.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.18 / $30.80 / $30.80	Professional		$26.18	$30.80	$30.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $597.00 / $597.00	Facility		$597.00	$597.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $58.51 / $58.51 / $58.51	Professional		$58.51	$58.51	$58.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.80 / $60.27 / $60.27	Facility		$30.80	$60.27	$60.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $30.80 / $60.27	Professional		$30.80	$30.80	$60.27