Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.96 / $8.05 / $12.49	Facility		$7.96	$8.05	$12.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $8.05 / $12.49	Professional		$5.36	$8.05	$12.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $11.25 / $11.25	Professional		$11.25	$11.25	$11.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $13.77 / $36.69	Professional		$13.77	$13.77	$36.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $15.39 / $15.39	Facility		$15.39	$15.39	$15.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $7.45 / $7.45	Professional		$7.45	$7.45	$7.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $1.99 / $1.99	Professional		$1.99	$1.99	$1.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $1.99 / $10.28	Facility		$1.99	$1.99	$10.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $10.28 / $10.92	Professional		$1.99	$10.28	$10.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $15.39 / $597.00	Facility		$15.39	$15.39	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $7.45 / $13.00	Professional		$7.45	$7.45	$13.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $9.19 / $18.64	Professional		$5.55	$9.19	$18.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $10.28 / $10.28	Facility		$5.00	$10.28	$10.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $10.28 / $10.92	Professional		$1.99	$10.28	$10.92