Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,612.00 / $5,192.00 / $10,692.00	Facility		$2,612.00	$5,192.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,044.65 / $3,715.76 / $4,358.52	Professional		$3,044.65	$3,715.76	$4,358.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,915.78 / $4,915.78 / $4,915.78	Professional		$4,915.78	$4,915.78	$4,915.78
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,178.88 / $3,178.88 / $8,000.16	Facility		$3,178.88	$3,178.88	$8,000.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,928.39 / $3,837.21 / $7,167.55	Professional		$2,928.39	$3,837.21	$7,167.55
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,523.00 / $9,152.00	Facility		$3,705.00	$5,523.00	$9,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,487.17 / $4,347.41 / $7,943.71	Professional		$2,487.17	$4,347.41	$7,943.71