Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.60 / $6,325.00 / $11,298.00	Facility		$577.60	$6,325.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.60 / $577.60 / $935.60	Professional		$577.60	$577.60	$935.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $696.82 / $696.82 / $834.87	Professional		$696.82	$696.82	$834.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,361.31 / $1,361.31 / $1,361.31	Professional		$1,361.31	$1,361.31	$1,361.31
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,419.62 / $9,780.39 / $19,863.39	Facility		$9,419.62	$9,780.39	$19,863.39
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.43 / $1,020.19 / $1,563.92	Professional		$741.43	$1,020.19	$1,563.92
United Facility/Professional Facility Modifier Low / Median / High Price $3,444.00 / $8,540.00 / $15,604.00	Facility		$3,444.00	$8,540.00	$15,604.00
United Facility/Professional Professional Modifier Low / Median / High Price $692.61 / $1,010.06 / $1,903.96	Professional		$692.61	$1,010.06	$1,903.96