Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.35 / $1.70	Facility		$1.17	$1.35	$1.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.35 / $1.57	Professional		$1.17	$1.35	$1.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.12 / $2.12 / $4.24	Facility		$2.12	$2.12	$4.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $1.60 / $4.26	Professional		$1.60	$1.60	$4.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2.17 / $2.17 / $2.25	Facility		$2.17	$2.17	$2.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $2.17 / $2.17	Professional		$2.17	$2.17	$2.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.18 / $1.65 / $1.65	Professional		$1.18	$1.65	$1.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2.12 / $4.45 / $332.00	Facility		$2.12	$4.45	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $3.82 / $5.89	Professional		$2.12	$3.82	$5.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.08 / $1.08 / $2.13	Facility		$1.08	$1.08	$2.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $2.11 / $2.25	Professional		$1.30	$2.11	$2.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1.18 / $1.65 / $4.04	Professional		$1.18	$1.65	$4.04
United Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $2.35 / $3.86	Professional		$0.78	$2.35	$3.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $2.13 / $2.31	Facility		$2.13	$2.13	$2.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.25 / $2.31	Professional		$2.11	$2.25	$2.31