Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.00 / $257.00 / $1,482.00	Facility		$251.00	$257.00	$1,482.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $350.00	Facility		$300.00	$300.00	$350.00
Fidelis Facility/Professional Facility Modifier Low / Median / High Price $289.79 / $418.90 / $590.89	Facility		$289.79	$418.90	$590.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.16 / $292.16 / $292.16	Facility		$292.16	$292.16	$292.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $342.00 / $431.00	Facility		$36.00	$342.00	$431.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $345.00 / $350.00	Facility		$300.00	$345.00	$350.00