Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.20 / $5,982.00 / $11,298.00	Facility		$215.20	$5,982.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.20 / $215.20 / $413.79	Professional		$215.20	$215.20	$413.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $255.17 / $405.16 / $475.20	Professional		$255.17	$405.16	$475.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,888.29 / $14,000.33 / $16,020.69	Facility		$7,888.29	$14,000.33	$16,020.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.25 / $333.62 / $585.61	Professional		$231.25	$333.62	$585.61
United Facility/Professional Facility Modifier Low / Median / High Price $5,378.00 / $8,305.00 / $14,121.00	Facility		$5,378.00	$8,305.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.00 / $312.70 / $548.55	Professional		$196.00	$312.70	$548.55