Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $21.76 / $36.47	Facility		$10.88	$21.76	$36.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $10.88 / $12.80	Professional		$6.91	$10.88	$12.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $12.80 / $33.28	Facility		$12.80	$12.80	$33.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.71 / $7.26 / $23.57	Professional		$4.71	$7.26	$23.57
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 $9.34 / $12.80 / $12.80	Professional		$9.34	$12.80	$12.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $26.15 / $100.04	Facility		$8.94	$26.15	$100.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $14.25 / $82.64	Professional		$9.53	$14.25	$82.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $11.60 / $19.20 / $332.00	Facility		$11.60	$19.20	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $7.68 / $23.42	Professional		$5.85	$7.68	$23.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.49 / $9.49 / $9.49	Facility		$9.49	$9.49	$9.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $12.16 / $17.00	Professional		$9.49	$12.16	$17.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $31.50 / $172.81	Facility		$13.73	$31.50	$172.81
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $15.10 / $35.00	Professional		$10.27	$15.10	$35.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $7.68 / $19.20	Professional		$5.38	$7.68	$19.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $14.72 / $47.14	Facility		$14.72	$14.72	$47.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $13.84 / $19.39	Professional		$11.29	$13.84	$19.39