Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.20 / $6,012.00 / $10,692.00	Facility		$239.20	$6,012.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.20 / $763.06 / $1,625.12	Professional		$239.20	$763.06	$1,625.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.27 / $1,133.27 / $1,357.79	Professional		$1,133.27	$1,133.27	$1,357.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $829.94 / $1,166.95 / $1,613.78	Professional		$829.94	$1,166.95	$1,613.78
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,263.66 / $14,472.48 / $29,392.80	Facility		$13,263.66	$14,472.48	$29,392.80
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.11 / $735.71 / $1,259.63	Professional		$579.11	$735.71	$1,259.63
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $8,043.00 / $14,048.00	Facility		$3,885.00	$8,043.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $463.89 / $789.36 / $1,582.97	Professional		$463.89	$789.36	$1,582.97