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 $1,335.17 / $1,553.93 / $1,828.85	Professional		$1,335.17	$1,553.93	$1,828.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,255.40 / $2,255.40 / $2,255.40	Professional		$2,255.40	$2,255.40	$2,255.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,903.44 / $12,359.29 / $25,101.06	Facility		$11,903.44	$12,359.29	$25,101.06
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,241.21 / $1,460.25 / $2,167.23	Professional		$1,241.21	$1,460.25	$2,167.23
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,142.61 / $1,721.68 / $3,609.38	Professional		$1,142.61	$1,721.68	$3,609.38