Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,395.00 / $8,084.00 / $18,402.00	Facility		$3,395.00	$8,084.00	$18,402.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.58 / $58.04 / $258.37	Professional		$46.58	$58.04	$258.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $514.08 / $514.08 / $514.08	Professional		$514.08	$514.08	$514.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,378.43 / $20,120.57 / $43,631.22	Facility		$19,378.43	$20,120.57	$43,631.22
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $58.19 / $108.33	Professional		$40.72	$58.19	$108.33
United Facility/Professional Facility Modifier Low / Median / High Price $6,066.00 / $12,315.00 / $27,214.00	Facility		$6,066.00	$12,315.00	$27,214.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.24 / $95.33 / $393.83	Professional		$49.24	$95.33	$393.83