Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,612.00 / $6,625.00 / $11,298.00	Facility		$2,612.00	$6,625.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,050.66 / $2,349.69 / $5,575.82	Professional		$2,050.66	$2,349.69	$5,575.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,667.04 / $2,973.35 / $6,136.13	Professional		$1,667.04	$2,973.35	$6,136.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,833.38 / $3,840.80 / $4,210.34	Professional		$2,833.38	$3,840.80	$4,210.34
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,024.24 / $4,024.24 / $4,447.22	Facility		$4,024.24	$4,024.24	$4,447.22
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,236.83 / $2,993.76 / $4,546.57	Professional		$2,236.83	$2,993.76	$4,546.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,844.00 / $7,579.00	Facility		$2,468.00	$4,844.00	$7,579.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,574.97 / $2,608.05 / $5,164.14	Professional		$1,574.97	$2,608.05	$5,164.14