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 $1,112.42 / $1,295.50 / $1,521.26	Professional		$1,112.42	$1,295.50	$1,521.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,996.07 / $1,996.07 / $1,996.07	Professional		$1,996.07	$1,996.07	$1,996.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,973.98 / $10,303.25 / $23,570.44	Facility		$9,973.98	$10,303.25	$23,570.44
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,033.08 / $1,215.40 / $1,702.68	Professional		$1,033.08	$1,215.40	$1,702.68
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 $1,028.42 / $1,523.72 / $3,060.24	Professional		$1,028.42	$1,523.72	$3,060.24