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 $851.14 / $3,890.45 / $6,918.31	Facility		$851.14	$3,890.45	$6,918.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $501.19 / $3,801.89	Facility		$389.05	$501.19	$3,801.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $5,370.32	Facility		$1,023.29	$1,513.56	$5,370.32
Optum Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $912.01 / $1,258.93	Facility		$707.95	$912.01	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $912.01 / $1,258.93	Facility		$707.95	$912.01	$1,258.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $501.19 / $1,737.80	Facility		$389.05	$501.19	$1,737.80