Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,395.28 / $6,986.00 / $11,798.00	Facility		$1,395.28	$6,986.00	$11,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.84 / $1,395.28 / $1,408.71	Professional		$1,201.84	$1,395.28	$1,408.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,840.58 / $1,840.58 / $1,840.58	Professional		$1,840.58	$1,840.58	$1,840.58
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,104.33 / $1,579.83 / $3,299.56	Professional		$1,104.33	$1,579.83	$3,299.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,527.00 / $9,152.00 / $18,419.00	Facility		$4,527.00	$9,152.00	$18,419.00
United Facility/Professional Professional Modifier Low / Median / High Price $971.86 / $1,804.32 / $3,360.06	Professional		$971.86	$1,804.32	$3,360.06