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 / $419.00 / $641.00	Facility		$98.00	$419.00	$641.00
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 $194.00 / $278.00 / $367.00	Facility		$194.00	$278.00	$367.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.52 / $90.52 / $110.10	Facility		$90.52	$90.52	$110.10
Fidelis Facility/Professional Facility Modifier Low / Median / High Price $195.16 / $284.69 / $424.90	Facility		$195.16	$284.69	$424.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.15 / $164.29 / $368.12	Facility		$68.15	$164.29	$368.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $236.00 / $330.00	Facility		$101.00	$236.00	$330.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $90.52 / $90.52 / $251.41	Facility		$90.52	$90.52	$251.41