Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $6,986.00 / $11,798.00	Facility		$1,400.00	$6,986.00	$11,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,151.95 / $1,318.17 / $1,400.00	Professional		$1,151.95	$1,318.17	$1,400.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $473.45 / $1,023.27 / $2,238.19	Professional		$473.45	$1,023.27	$2,238.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,478.58 / $17,367.83 / $35,273.11	Facility		$14,478.58	$17,367.83	$35,273.11
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,379.39 / $1,865.30 / $3,815.13	Professional		$1,379.39	$1,865.30	$3,815.13
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 $1,021.31 / $1,959.31 / $4,167.85	Professional		$1,021.31	$1,959.31	$4,167.85