Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.00 / $257.00 / $359.00	Facility		$257.00	$257.00	$359.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.45 / $27.69 / $95.25	Facility		$26.45	$27.69	$95.25
Fidelis Facility/Professional Facility Modifier Low / Median / High Price $124.52 / $420.23 / $536.66	Facility		$124.52	$420.23	$536.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $342.00 / $431.00	Facility		$108.00	$342.00	$431.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,500.00 / $5,500.00 / $5,500.00	Facility		$5,500.00	$5,500.00	$5,500.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.45 / $27.69 / $95.25	Facility		$26.45	$27.69	$95.25