Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,612.00 / $6,153.00 / $10,871.00	Facility		$2,612.00	$6,153.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.84 / $240.07 / $282.89	Professional		$204.84	$240.07	$282.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $877.05 / $877.05 / $877.05	Professional		$877.05	$877.05	$877.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,108.84 / $8,847.86 / $16,873.78	Facility		$8,108.84	$8,847.86	$16,873.78
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.63 / $254.69 / $482.82	Professional		$190.63	$254.69	$482.82
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 $218.61 / $397.20 / $756.27	Professional		$218.61	$397.20	$756.27