Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,705.20 / $6,396.00 / $11,298.00	Facility		$1,705.20	$6,396.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,459.39 / $1,694.21 / $2,794.40	Professional		$1,459.39	$1,694.21	$2,794.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,627.24 / $2,312.81 / $4,980.53	Professional		$1,627.24	$2,312.81	$4,980.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,904.00 / $2,550.65 / $2,596.19	Professional		$1,904.00	$2,550.65	$2,596.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,989.59 / $13,851.67 / $27,428.23	Facility		$11,989.59	$13,851.67	$27,428.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,315.57 / $2,028.84 / $4,314.01	Professional		$1,315.57	$2,028.84	$4,314.01
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 $1,346.99 / $2,182.71 / $4,867.55	Professional		$1,346.99	$2,182.71	$4,867.55