Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,480.00 / $2,480.00 / $2,480.00	Professional		$2,480.00	$2,480.00	$2,480.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,116.50 / $2,116.50 / $3,428.73	Facility		$2,116.50	$2,116.50	$3,428.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,799.03 / $2,116.50 / $2,116.50	Professional		$1,799.03	$2,116.50	$2,116.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,116.50 / $2,639.40 / $2,639.40	Facility		$2,116.50	$2,639.40	$2,639.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,116.50 / $2,116.50 / $2,639.40	Professional		$2,116.50	$2,116.50	$2,639.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,116.50 / $2,116.50 / $2,116.50	Facility		$2,116.50	$2,116.50	$2,116.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,116.50 / $2,116.50 / $2,639.40	Professional		$2,116.50	$2,116.50	$2,639.40