Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,311.31 / $5,128.61	Facility		$1,288.25	$3,311.31	$5,128.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $6,165.95	Facility		$2,089.30	$3,981.07	$6,165.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $380.19 / $3,801.89	Facility		$295.12	$380.19	$3,801.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,318.26 / $2,630.27	Facility		$831.76	$1,318.26	$2,630.27
Optum Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $794.33 / $1,047.13	Facility		$512.86	$794.33	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $794.33 / $1,047.13	Facility		$512.86	$794.33	$1,047.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $380.19 / $1,737.80	Facility		$295.12	$380.19	$1,737.80