Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $12.86 / $14.48	Facility		$12.86	$12.86	$14.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $13.38	Professional		$12.86	$12.86	$13.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $21.65	Professional		$12.86	$12.86	$21.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $12.86 / $85.00	Facility		$12.13	$12.86	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $16.78	Professional		$12.86	$12.86	$16.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $18.20 / $332.00	Facility		$12.86	$18.20	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $14.79	Professional		$12.86	$12.86	$14.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $12.86 / $13.35	Facility		$12.86	$12.86	$13.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $13.35 / $13.35	Professional		$12.86	$13.35	$13.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $20.75 / $597.00	Facility		$12.13	$20.75	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $17.25	Professional		$12.86	$12.86	$17.25
United Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $18.96	Professional		$12.86	$12.86	$18.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $13.35 / $13.35 / $13.35	Facility		$13.35	$13.35	$13.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $13.35 / $13.35	Professional		$12.86	$13.35	$13.35