Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,110.48 / $6,871.00 / $12,080.35	Facility		$2,110.48	$6,871.00	$12,080.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,564.84 / $1,905.77 / $2,249.82	Professional		$1,564.84	$1,905.77	$2,249.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,095.99 / $5,095.99 / $5,095.99	Professional		$5,095.99	$5,095.99	$5,095.99
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,426.63 / $23,197.59 / $51,406.75	Facility		$20,426.63	$23,197.59	$51,406.75
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,515.24 / $2,177.07 / $3,708.71	Professional		$1,515.24	$2,177.07	$3,708.71
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $10,536.00 / $23,291.00	Facility		$5,682.00	$10,536.00	$23,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.67 / $3,050.02 / $5,916.89	Professional		$1,737.67	$3,050.02	$5,916.89