Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,174.00 / $6,986.00 / $11,415.31	Facility		$4,174.00	$6,986.00	$11,415.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,464.03 / $9,604.25 / $12,168.83	Professional		$8,464.03	$9,604.25	$12,168.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,852.63 / $1,852.63 / $1,852.63	Professional		$1,852.63	$1,852.63	$1,852.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $68,670.34 / $77,985.77 / $172,819.60	Facility		$68,670.34	$77,985.77	$172,819.60
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,966.38 / $10,276.62 / $20,281.56	Professional		$7,966.38	$10,276.62	$20,281.56
United Facility/Professional Facility Modifier Low / Median / High Price $6,066.00 / $12,315.00 / $27,214.00	Facility		$6,066.00	$12,315.00	$27,214.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,242.24 / $10,944.62 / $27,001.50	Professional		$1,242.24	$10,944.62	$27,001.50