Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Facility		$350.00	$350.00	$350.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Professional		$350.00	$350.00	$350.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.30 / $301.30 / $708.06	Professional		$301.30	$301.30	$708.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $614.02 / $767.52 / $767.52	Professional		$614.02	$767.52	$767.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $767.52 / $767.52 / $767.52	Facility		$767.52	$767.52	$767.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.20 / $930.89 / $930.89	Professional		$121.20	$930.89	$930.89
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 $4,790.84 / $4,790.84 / $4,790.84	Professional		$4,790.84	$4,790.84	$4,790.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $121.20 / $121.20 / $121.20	Facility		$121.20	$121.20	$121.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $121.20 / $767.52 / $930.89	Professional		$121.20	$767.52	$930.89