Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,374.87 / $3,652.26 / $22,289.67	Facility		$2,374.87	$3,652.26	$22,289.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,374.87 / $2,374.87 / $2,497.23	Professional		$2,374.87	$2,374.87	$2,497.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.66 / $66.64 / $112.57	Professional		$53.66	$66.64	$112.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,371.10 / $3,503.30 / $3,503.30	Facility		$3,371.10	$3,503.30	$3,503.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,371.10 / $3,371.10 / $3,503.30	Professional		$3,371.10	$3,371.10	$3,503.30
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
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,371.10 / $3,371.10 / $3,371.10	Facility		$3,371.10	$3,371.10	$3,371.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,371.10 / $3,371.10 / $3,503.30	Professional		$3,371.10	$3,371.10	$3,503.30