Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,696.00 / $4,240.00 / $18,304.00	Facility		$1,696.00	$4,240.00	$18,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,696.00 / $2,496.00 / $2,720.00	Professional		$1,696.00	$2,496.00	$2,720.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,128.00 / $4,727.34 / $10,076.16	Facility		$3,128.00	$4,727.34	$10,076.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,360.00 / $4,192.00 / $5,830.40	Professional		$3,360.00	$4,192.00	$5,830.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,240.00 / $2,240.00 / $8,702.00	Facility		$2,240.00	$2,240.00	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,240.00 / $2,240.00 / $2,240.00	Professional		$2,240.00	$2,240.00	$2,240.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,280.00 / $1,920.00 / $3,200.00	Professional		$1,280.00	$1,920.00	$3,200.00