Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $417.00 / $563.00 / $670.00	Facility		$417.00	$563.00	$670.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.85 / $186.85 / $186.85	Facility		$186.85	$186.85	$186.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $213.00 / $221.00 / $246.00	Facility		$213.00	$221.00	$246.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.26 / $122.26 / $122.26	Facility		$122.26	$122.26	$122.26
Fidelis Facility/Professional Facility Modifier Low / Median / High Price $173.21 / $193.68 / $338.32	Facility		$173.21	$193.68	$338.32
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.47 / $318.10 / $584.49	Facility		$133.47	$318.10	$584.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $159.00 / $159.00 / $186.85	Facility		$159.00	$159.00	$186.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $122.26 / $122.26 / $122.26	Facility		$122.26	$122.26	$122.26