Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.40 / $7.45 / $98.45	Facility		$1.40	$7.45	$98.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.68 / $1.73	Professional		$1.40	$1.68	$1.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $1.69 / $1.72	Professional		$1.56	$1.69	$1.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.76 / $15.76 / $15.76	Facility		$15.76	$15.76	$15.76
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $15.76 / $15.76	Professional		$15.76	$15.76	$15.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.68 / $1.73 / $65.00	Facility		$1.68	$1.73	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.73 / $2.02	Professional		$1.73	$1.73	$2.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.98 / $49.46 / $332.00	Facility		$21.98	$49.46	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $21.98 / $21.98	Professional		$18.68	$21.98	$21.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $1.34 / $1.34	Facility		$1.29	$1.34	$1.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.34 / $1.34	Professional		$1.29	$1.34	$1.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $1.73 / $597.00	Facility		$1.73	$1.73	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.73 / $2.54	Professional		$1.73	$1.73	$2.54
United Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $2.37	Professional		$1.69	$1.69	$2.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $1.29 / $80.20	Facility		$1.29	$1.29	$80.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $3.74	Professional		$1.29	$1.29	$3.74