Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $5.75 / $11.75	Facility		$4.07	$5.75	$11.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $6.17	Professional		$3.98	$3.98	$6.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.07 / $4.27	Facility		$4.07	$4.07	$4.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $3.55 / $3.72	Facility		$3.55	$3.55	$3.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $3.55	Professional		$3.55	$3.55	$3.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $3.80 / $85.11	Facility		$3.55	$3.80	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $17.38	Professional		$4.07	$4.07	$17.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $5.01 / $14.13	Facility		$3.89	$5.01	$14.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $5.75	Professional		$4.47	$4.47	$5.75
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.07 / $4.27	Facility		$4.07	$4.07	$4.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.27	Professional		$4.07	$4.07	$4.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $50,118.72 / $75,857.76	Facility		$5.25	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Facility		$4.07	$4.07	$4.07
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.07 / $5.89	Professional		$3.98	$4.07	$5.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.07 / $4.79	Facility		$4.07	$4.07	$4.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $4.07 / $4.90	Professional		$2.88	$4.07	$4.90