Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.11 / $6,325.00 / $12,831.00	Facility		$395.11	$6,325.00	$12,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.93 / $727.94 / $1,332.81	Professional		$259.93	$727.94	$1,332.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $932.50 / $3,015.06	Professional		$318.75	$932.50	$3,015.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $589.04 / $1,293.46 / $1,593.88	Professional		$589.04	$1,293.46	$1,593.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,794.98 / $12,794.98 / $30,237.02	Facility		$12,794.98	$12,794.98	$30,237.02
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.39 / $917.89 / $1,723.48	Professional		$259.39	$917.89	$1,723.48
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $10,536.00 / $23,291.00	Facility		$5,682.00	$10,536.00	$23,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $503.20 / $1,204.91 / $2,424.30	Professional		$503.20	$1,204.91	$2,424.30