Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $1,959.00 / $2,332.00	Facility		$11.34	$1,959.00	$2,332.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $11.34 / $29.98	Professional		$11.34	$11.34	$29.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,478.00 / $2,814.00	Facility		$374.00	$1,478.00	$2,814.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $25.90 / $46.43	Professional		$20.86	$25.90	$46.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $17.84 / $17.84	Professional		$17.84	$17.84	$17.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $1,162.00 / $1,291.00	Facility		$1,162.00	$1,162.00	$1,291.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $31.39 / $48.71	Professional		$23.25	$31.39	$48.71
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
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $17.84 / $17.84	Professional		$17.84	$17.84	$17.84
United Facility/Professional Professional Modifier Low / Median / High Price $22.27 / $32.20 / $73.95	Professional		$22.27	$32.20	$73.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $82.33 / $82.33 / $82.33	Facility		$82.33	$82.33	$82.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $82.33 / $82.33	Professional		$23.25	$82.33	$82.33