Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $7.41 / $13.49	Facility		$5.75	$7.41	$13.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $7.94	Professional		$5.01	$5.01	$7.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $6.03	Facility		$5.75	$5.75	$6.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Professional		$5.75	$5.75	$5.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $6.03	Facility		$5.75	$5.75	$6.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Professional		$5.75	$5.75	$5.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $85.11	Facility		$5.37	$5.37	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $6.46	Professional		$5.75	$5.75	$6.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $7.08 / $19.50	Facility		$5.37	$7.08	$19.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.17 / $7.24	Professional		$5.89	$6.17	$7.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $5.89	Facility		$5.75	$5.75	$5.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.89 / $5.89	Professional		$5.75	$5.89	$5.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $11.75 / $53,703.18	Facility		$6.31	$11.75	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$6.17
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Facility		$5.75	$5.75	$5.75
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.75 / $6.92	Professional		$5.37	$5.75	$6.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $6.61	Facility		$5.75	$5.75	$6.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.89 / $5.89	Professional		$5.75	$5.89	$5.89