Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,297.00 / $5,559.00 / $10,202.00	Facility		$2,297.00	$5,559.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,240.79 / $1,502.75 / $1,764.57	Professional		$1,240.79	$1,502.75	$1,764.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,349.96 / $2,349.96 / $2,349.96	Professional		$2,349.96	$2,349.96	$2,349.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,338.44 / $1,775.45 / $3,390.00	Professional		$1,338.44	$1,775.45	$3,390.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,846.00 / $7,273.00 / $10,536.00	Facility		$1,846.00	$7,273.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,056.83 / $1,620.81 / $3,635.06	Professional		$1,056.83	$1,620.81	$3,635.06