Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.53 / $5,109.00 / $9,860.00	Facility		$561.53	$5,109.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.33 / $620.71 / $1,213.23	Professional		$523.33	$620.71	$1,213.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.24 / $825.68 / $1,644.88	Professional		$469.24	$825.68	$1,644.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $838.53 / $1,136.67 / $1,257.21	Professional		$838.53	$1,136.67	$1,257.21
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,419.88 / $8,157.14 / $16,974.24	Facility		$7,419.88	$8,157.14	$16,974.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $693.65 / $895.53 / $1,231.43	Professional		$693.65	$895.53	$1,231.43
United Facility/Professional Facility Modifier Low / Median / High Price $5,378.00 / $8,305.00 / $14,121.00	Facility		$5,378.00	$8,305.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.32 / $758.94 / $1,503.79	Professional		$444.32	$758.94	$1,503.79