Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,482.00 / $1,482.00 / $1,560.00	Facility		$1,482.00	$1,482.00	$1,560.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $3,013.00 / $5,148.00	Facility		$250.00	$3,013.00	$5,148.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $18.36 / $25.29	Facility		$9.69	$18.36	$25.29
Fidelis Facility/Professional Facility Modifier Low / Median / High Price $266.25 / $578.63 / $1,937.83	Facility		$266.25	$578.63	$1,937.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.63 / $451.94 / $2,113.40	Facility		$128.63	$451.94	$2,113.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $104.00 / $105.00	Facility		$95.00	$104.00	$105.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $650.00 / $1,190.00	Facility		$330.00	$650.00	$1,190.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $18.36 / $25.29	Facility		$9.69	$18.36	$25.29