Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $9.53 / $15.67	Facility		$7.57	$9.53	$15.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $7.57 / $9.16	Professional		$7.57	$7.57	$9.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.06 / $6.06 / $7.57	Facility		$6.06	$6.06	$7.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $7.57 / $7.57	Professional		$6.64	$7.57	$7.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5.76 / $5.76 / $6.34	Facility		$5.76	$5.76	$6.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $5.76 / $5.76	Professional		$5.76	$5.76	$5.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $6.77 / $8.53	Facility		$6.77	$6.77	$8.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $6.77	Professional		$6.77	$6.77	$6.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $10.16 / $332.00	Facility		$6.77	$10.16	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.77 / $13.07	Professional		$5.75	$6.77	$13.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $7.04 / $7.04	Facility		$6.77	$7.04	$7.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $7.04 / $7.04	Professional		$6.77	$7.04	$7.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $8.53 / $74,999.25	Facility		$6.77	$8.53	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $6.77 / $7.57	Professional		$6.57	$6.77	$7.57
United Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $7.57 / $10.61	Professional		$7.57	$7.57	$10.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $6.77 / $6.77	Facility		$6.77	$6.77	$6.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $7.04	Professional		$6.77	$6.77	$7.04