Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.32 / $8.86 / $13.90	Facility		$6.32	$8.86	$13.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $11.00 / $11.48	Professional		$6.32	$11.00	$11.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.25 / $17.25 / $34.50	Facility		$17.25	$17.25	$34.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $23.94	Professional		$0.10	$0.10	$23.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.15 / $10.15 / $14.38	Facility		$10.15	$10.15	$14.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $10.15 / $10.15	Professional		$10.15	$10.15	$10.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.25 / $36.22 / $332.00	Facility		$17.25	$36.22	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $31.05 / $47.96	Professional		$17.25	$31.05	$47.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $9.86 / $9.97	Facility		$9.86	$9.86	$9.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.97 / $10.59	Professional		$9.86	$9.97	$10.59
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 $10.19 / $10.67 / $29.56	Professional		$10.19	$10.67	$29.56
United Facility/Professional Professional Modifier Low / Median / High Price $5.74 / $15.07 / $22.24	Professional		$5.74	$15.07	$22.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $9.97 / $9.97 / $72.80	Facility		$9.97	$9.97	$72.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $10.59 / $72.80	Professional		$9.86	$10.59	$72.80