Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $19.66 / $98.69	Facility		$0.02	$19.66	$98.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $19.66 / $19.66	Professional		$18.04	$19.66	$19.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $7.83 / $22.81	Professional		$5.18	$7.83	$22.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $7.68 / $12.80 / $12.80	Facility		$7.68	$12.80	$12.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $12.80 / $12.80	Professional		$8.36	$12.80	$12.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $51.03 / $84.04	Facility		$50.00	$51.03	$84.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $22.98 / $115.39	Professional		$14.53	$22.98	$115.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $21.53	Professional		$5.05	$5.05	$21.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Facility		$5.05	$5.05	$5.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $22.72 / $23.84	Professional		$5.05	$22.72	$23.84
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $4.24	Professional		$4.24	$4.24	$4.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $51.03 / $597.00	Facility		$13.73	$51.03	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $9.50 / $24.47	Professional		$9.50	$9.50	$24.47
United Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $14.51 / $35.68	Professional		$9.67	$14.51	$35.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.16 / $26.16 / $26.16	Facility		$26.16	$26.16	$26.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $23.35 / $27.34	Professional		$20.19	$23.35	$27.34