Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,630.27 / $3,890.45	Facility		$1,479.11	$2,630.27	$3,890.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,897.79 / $6,918.31	Facility		$1,380.38	$4,897.79	$6,918.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $3,801.89	Facility		$1,737.80	$2,344.23	$3,801.89
Optum Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80