Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,511.38 / $12,302.69	Facility		$4,466.84	$8,511.38	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $794.33 / $3,162.28	Professional		$691.83	$794.33	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,122.02 / $2,454.71	Professional		$724.44	$1,122.02	$2,454.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,202.26	Professional		$691.83	$870.96	$1,202.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $19,054.61 / $30,199.52	Facility		$12,022.64	$19,054.61	$30,199.52
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,000.00 / $3,235.94	Professional		$616.60	$1,000.00	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,606.93 / $11,220.18	Facility		$2,951.21	$6,606.93	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $1,949.84	Professional		$588.84	$812.83	$1,949.84