Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $963.53 / $6,628.00 / $11,798.00	Facility		$963.53	$6,628.00	$11,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $811.01 / $944.13 / $1,588.81	Professional		$811.01	$944.13	$1,588.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $929.68 / $1,340.68 / $2,791.60	Professional		$929.68	$1,340.68	$2,791.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $866.01 / $1,451.83 / $1,513.76	Professional		$866.01	$1,451.83	$1,513.76
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,641.00 / $28,306.58 / $59,657.57	Facility		$1,641.00	$28,306.58	$59,657.57
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.01 / $1,134.44 / $2,364.67	Professional		$846.01	$1,134.44	$2,364.67
United Facility/Professional Facility Modifier Low / Median / High Price $6,066.00 / $12,315.00 / $27,214.00	Facility		$6,066.00	$12,315.00	$27,214.00
United Facility/Professional Professional Modifier Low / Median / High Price $767.59 / $1,136.16 / $2,790.68	Professional		$767.59	$1,136.16	$2,790.68