Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,320.54 / $5,398.00 / $11,298.00	Facility		$1,320.54	$5,398.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,141.32 / $1,292.24 / $2,112.02	Professional		$1,141.32	$1,292.24	$2,112.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,215.60 / $1,867.63 / $3,926.29	Professional		$1,215.60	$1,867.63	$3,926.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,121.32 / $1,875.18 / $1,896.06	Professional		$1,121.32	$1,875.18	$1,896.06
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,606.42 / $14,382.16 / $27,428.23	Facility		$11,606.42	$14,382.16	$27,428.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,050.48 / $1,483.03 / $3,288.54	Professional		$1,050.48	$1,483.03	$3,288.54
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $9,969.00 / $19,696.00	Facility		$5,682.00	$9,969.00	$19,696.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,011.58 / $1,526.65 / $3,792.25	Professional		$1,011.58	$1,526.65	$3,792.25