Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,918.31 / $19,498.45	Facility		$2,511.89	$6,918.31	$19,498.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $13,803.84 / $16,595.87	Facility		$4,897.79	$13,803.84	$16,595.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,949.84	Facility		$1,202.26	$1,584.89	$1,949.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,187.76 / $3,630.78	Facility		$1,000.00	$2,187.76	$3,630.78
Fidelis Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $331.13 / $1,318.26	Facility		$54.95	$331.13	$1,318.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $112.20 / $223.87	Facility		$44.67	$112.20	$223.87
Optum Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,096.48 / $2,187.76	Facility		$346.74	$1,096.48	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,096.48 / $2,187.76	Facility		$346.74	$1,096.48	$2,187.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,187.76 / $3,630.78	Facility		$1,000.00	$2,187.76	$3,630.78