Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
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
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