Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $25.70 / $48.98	Facility		$13.80	$25.70	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.33 / $28.18	Professional		$7.08	$9.33	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $28.84	Facility		$10.96	$10.96	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $10.72 / $23.99	Professional		$4.47	$10.72	$23.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $32.36 / $85.11	Facility		$17.78	$32.36	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $53.70 / $53.70	Professional		$10.47	$53.70	$53.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $13.80 / $33.11	Facility		$8.13	$13.80	$33.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.80 / $21.38	Professional		$10.47	$13.80	$21.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.96 / $12.88	Professional		$9.33	$10.96	$12.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $20.89 / $50,118.72	Facility		$14.45	$20.89	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.96 / $13.18	Facility		$10.00	$10.96	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.61 / $16.60	Professional		$4.68	$6.61	$16.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $12.59 / $30.90	Facility		$9.33	$12.59	$30.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.96 / $33.11	Professional		$9.33	$10.96	$33.11