Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,612.00 / $6,680.00 / $11,332.00	Facility		$2,612.00	$6,680.00	$11,332.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.58 / $806.33 / $1,021.37	Professional		$710.58	$806.33	$1,021.37
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 $18,206.89 / $20,120.57 / $40,863.73	Facility		$18,206.89	$20,120.57	$40,863.73
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.02 / $893.82 / $1,399.11	Professional		$688.02	$893.82	$1,399.11
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 $335.86 / $928.24 / $2,305.71	Professional		$335.86	$928.24	$2,305.71