Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.90 / $6.27 / $29.10	Facility		$5.90	$6.27	$29.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $6.27 / $12.83	Professional		$3.70	$6.27	$12.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $8.82 / $8.82	Professional		$8.82	$8.82	$8.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $6.52 / $17.37	Professional		$4.25	$6.52	$17.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.51 / $11.30 / $11.30	Facility		$10.51	$11.30	$11.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $11.30 / $11.30	Professional		$11.30	$11.30	$11.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.40 / $8.15 / $8.15	Facility		$5.40	$8.15	$8.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $6.93 / $9.31	Professional		$6.93	$6.93	$9.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.57 / $30.53 / $332.00	Facility		$13.57	$30.53	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $9.65 / $24.02	Professional		$4.65	$9.65	$24.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $10.29 / $10.29	Facility		$10.29	$10.29	$10.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $8.33 / $11.30	Professional		$7.84	$8.33	$11.30
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $9.73 / $9.73	Professional		$9.73	$9.73	$9.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $5.40 / $8.15 / $555.00	Facility		$5.40	$8.15	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $8.15 / $19.69	Professional		$6.93	$8.15	$19.69
United Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $6.77 / $12.44	Professional		$4.51	$6.77	$12.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $7.84 / $7.84 / $9.69	Facility		$7.84	$7.84	$9.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $7.84 / $10.29	Professional		$7.84	$7.84	$10.29