Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.00 / $703.00 / $2,625.00	Facility		$279.00	$703.00	$2,625.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $797.00 / $1,775.00	Facility		$366.00	$797.00	$1,775.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $15.00 / $200.00	Facility		$11.00	$15.00	$200.00
Fidelis Facility/Professional Facility Modifier Low / Median / High Price $85.74 / $85.74 / $85.74	Facility		$85.74	$85.74	$85.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $253.00 / $261.00 / $431.00	Facility		$253.00	$261.00	$431.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $350.00 / $406.00	Facility		$350.00	$350.00	$406.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $15.00 / $225.00	Facility		$11.00	$15.00	$225.00