Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.16 / $6,450.00 / $13,092.00	Facility		$720.16	$6,450.00	$13,092.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.80 / $723.71 / $1,229.90	Professional		$627.80	$723.71	$1,229.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.67 / $1,018.59 / $2,197.25	Professional		$720.67	$1,018.59	$2,197.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $676.69 / $1,090.21 / $1,182.18	Professional		$676.69	$1,090.21	$1,182.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,851.67 / $14,382.16 / $27,428.23	Facility		$13,851.67	$14,382.16	$27,428.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.91 / $883.27 / $1,738.78	Professional		$600.91	$883.27	$1,738.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $610.51 / $876.17 / $2,149.88	Professional		$610.51	$876.17	$2,149.88