Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $3,548.13	Facility		$1,949.84	$2,570.40	$3,548.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $3,890.45 / $6,918.31	Facility		$371.54	$3,890.45	$6,918.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $3,801.89	Facility		$741.31	$741.31	$3,801.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $3,090.30	Facility		$1,071.52	$1,698.24	$3,090.30
Optum Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,202.26 / $2,454.71	Facility		$794.33	$1,202.26	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,202.26 / $2,454.71	Facility		$794.33	$1,202.26	$2,454.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $1,737.80	Facility		$741.31	$741.31	$1,737.80