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 $492.15 / $558.45 / $707.56	Professional		$492.15	$558.45	$707.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $468.08 / $468.08 / $468.08	Professional		$468.08	$468.08	$468.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,108.84 / $8,847.86 / $19,186.50	Facility		$8,108.84	$8,847.86	$19,186.50
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.21 / $603.30 / $1,002.40	Professional		$463.21	$603.30	$1,002.40
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $8,305.00 / $14,121.00	Facility		$5,682.00	$8,305.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $349.62 / $681.52 / $1,597.08	Professional		$349.62	$681.52	$1,597.08