Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $995.00 / $2,915.00 / $4,124.00	Facility		$995.00	$2,915.00	$4,124.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $2,071.00 / $2,775.00	Facility		$816.00	$2,071.00	$2,775.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,465.00 / $7,499.00	Facility		$905.00	$2,465.00	$7,499.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $382.85 / $1,101.84 / $2,441.32	Facility		$382.85	$1,101.84	$2,441.32
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,187.71 / $1,497.89 / $5,236.75	Facility		$1,187.71	$1,497.89	$5,236.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $2,071.00 / $2,745.00	Facility		$816.00	$2,071.00	$2,745.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $858.00 / $908.00	Facility		$700.00	$858.00	$908.00
United Facility/Professional Facility Modifier Low / Median / High Price $386.00 / $1,035.00 / $2,387.00	Facility		$386.00	$1,035.00	$2,387.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $499.40 / $1,401.20 / $2,612.66	Facility		$499.40	$1,401.20	$2,612.66