Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,235.00 / $1,947.00 / $2,784.00	Facility		$1,235.00	$1,947.00	$2,784.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,185.00 / $1,808.00 / $2,953.00	Facility		$1,185.00	$1,808.00	$2,953.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $1,013.00 / $1,208.00	Facility		$1,013.00	$1,013.00	$1,208.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $2,003.00 / $3,929.00	Facility		$1,283.00	$2,003.00	$3,929.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $592.00 / $1,705.00 / $2,898.00	Facility		$592.00	$1,705.00	$2,898.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $591.71 / $958.40 / $81,795.67	Facility		$591.71	$958.40	$81,795.67
Fidelis Facility/Professional Facility Modifier Low / Median / High Price $403.55 / $1,443.79 / $3,487.19	Facility		$403.55	$1,443.79	$3,487.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,598.04 / $1,598.04 / $1,751.57	Facility		$1,598.04	$1,598.04	$1,751.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,156.00 / $1,918.02 / $3,289.00	Facility		$1,156.00	$1,918.02	$3,289.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $120.00	Facility		$80.00	$80.00	$120.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $695.00 / $3,017.00	Facility		$260.00	$695.00	$3,017.00