Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.85 / $5,450.00 / $9,842.00	Facility		$623.85	$5,450.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $623.85 / $715.53 / $1,392.43	Professional		$623.85	$715.53	$1,392.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.82 / $912.47 / $1,924.95	Professional		$638.82	$912.47	$1,924.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $837.94 / $1,135.86 / $1,251.34	Professional		$837.94	$1,135.86	$1,251.34
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,024.24 / $4,283.18 / $8,481.31	Facility		$4,024.24	$4,283.18	$8,481.31
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $654.89 / $896.74 / $1,380.22	Professional		$654.89	$896.74	$1,380.22
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $442.59 / $770.46 / $1,511.84	Professional		$442.59	$770.46	$1,511.84