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 $306.37 / $348.88 / $435.59	Professional		$306.37	$348.88	$435.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $481.35 / $481.35 / $481.35	Professional		$481.35	$481.35	$481.35
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,375.97 / $8,847.86 / $16,873.78	Facility		$7,375.97	$8,847.86	$16,873.78
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.18 / $402.16 / $757.02	Professional		$291.18	$402.16	$757.02
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 $307.81 / $409.44 / $1,036.93	Professional		$307.81	$409.44	$1,036.93