Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $250.00 / $498.00	Facility		$90.00	$250.00	$498.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.69 / $24.69 / $27.71	Facility		$24.69	$24.69	$27.71
Fidelis Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $74.98 / $94.11	Facility		$49.00	$74.98	$94.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $69.02 / $180.95	Facility		$40.29	$69.02	$180.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $24.69 / $24.69 / $30.03	Facility		$24.69	$24.69	$30.03