Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $6,918.31 / $11,748.98	Facility		$4,466.84	$6,918.31	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,691.53 / $6,760.83	Professional		$2,238.72	$2,691.53	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,548.13 / $8,511.38	Professional		$2,454.71	$3,548.13	$8,511.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,090.30 / $4,265.80	Professional		$2,511.89	$3,090.30	$4,265.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $34,673.69 / $48,977.88 / $91,201.08	Facility		$34,673.69	$48,977.88	$91,201.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,467.37 / $10,000.00	Professional		$2,511.89	$3,467.37	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $10,715.19 / $29,512.09	Facility		$5,128.61	$10,715.19	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $6,456.54	Professional		$1,995.26	$2,754.23	$6,456.54