Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $260.00 / $356.00	Facility		$118.00	$260.00	$356.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.00 / $373.00 / $672.00	Facility		$98.00	$373.00	$672.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $93.00 / $121.00 / $177.00	Facility		$93.00	$121.00	$177.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $242.00 / $347.00	Facility		$65.00	$242.00	$347.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $183.00 / $270.00 / $367.00	Facility		$183.00	$270.00	$367.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $97.30	Facility		$80.00	$80.00	$97.30
Fidelis Facility/Professional Facility Modifier Low / Median / High Price $26.42 / $74.93 / $141.86	Facility		$26.42	$74.93	$141.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $52.87 / $99.85	Facility		$21.38	$52.87	$99.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $230.00 / $330.00	Facility		$101.00	$230.00	$330.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $251.41	Facility		$80.00	$80.00	$251.41