Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,311.31 / $5,128.61	Facility		$1,905.46	$3,311.31	$5,128.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,981.07 / $7,585.78	Facility		$2,187.76	$3,981.07	$7,585.78
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
Optum Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
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