Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.00 / $257.00 / $257.00	Facility		$257.00	$257.00	$257.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $107.36 / $206.01	Facility		$21.50	$107.36	$206.01
Fidelis Facility/Professional Facility Modifier Low / Median / High Price $235.76 / $235.76 / $235.76	Facility		$235.76	$235.76	$235.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $342.00 / $431.00	Facility		$108.00	$342.00	$431.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $129.00 / $866.00 / $866.00	Facility		$129.00	$866.00	$866.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $107.36 / $206.01	Facility		$21.50	$107.36	$206.01