Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $25.12 / $51.29	Facility		$19.05	$25.12	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $26.30	Professional		$19.05	$19.05	$26.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.95	Facility		$19.05	$19.05	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $27.54	Facility		$17.78	$17.78	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $79.43	Professional		$19.05	$19.05	$79.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $22.91 / $67.61	Facility		$18.62	$22.91	$67.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $23.44	Professional		$19.05	$19.05	$23.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.95	Facility		$19.05	$19.05	$19.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $50,118.72 / $75,857.76	Facility		$23.44	$50,118.72	$75,857.76
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.05 / $26.92	Professional		$18.20	$19.05	$26.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $21.88	Facility		$19.05	$19.05	$21.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $22.39	Professional		$19.05	$19.05	$22.39