Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,110.93 / $5,211.21 / $9,842.00	Facility		$1,110.93	$5,211.21	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $930.38 / $1,043.79 / $1,594.83	Professional		$930.38	$1,043.79	$1,594.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.37 / $1,573.40 / $3,369.61	Professional		$1,008.37	$1,573.40	$3,369.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $895.66 / $1,526.89 / $1,555.36	Professional		$895.66	$1,526.89	$1,555.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,180.88 / $25,525.77 / $31,187.56	Facility		$13,180.88	$25,525.77	$31,187.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $871.15 / $1,278.08 / $2,571.25	Professional		$871.15	$1,278.08	$2,571.25
United Facility/Professional Facility Modifier Low / Median / High Price $6,511.00 / $10,294.00 / $19,834.00	Facility		$6,511.00	$10,294.00	$19,834.00
United Facility/Professional Professional Modifier Low / Median / High Price $819.80 / $1,266.03 / $3,133.96	Professional		$819.80	$1,266.03	$3,133.96