Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.95 / $6,396.00 / $11,332.00	Facility		$1,011.95	$6,396.00	$11,332.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.80 / $978.18 / $1,615.62	Professional		$836.80	$978.18	$1,615.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.48 / $1,401.88 / $2,916.69	Professional		$970.48	$1,401.88	$2,916.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $882.22 / $1,525.92 / $1,544.78	Professional		$882.22	$1,525.92	$1,544.78
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,015.87 / $15,715.96 / $37,661.98	Facility		$14,015.87	$15,715.96	$37,661.98
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $863.37 / $1,190.48 / $2,468.46	Professional		$863.37	$1,190.48	$2,468.46
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $10,536.00 / $23,291.00	Facility		$5,682.00	$10,536.00	$23,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $821.00 / $1,240.80 / $2,846.13	Professional		$821.00	$1,240.80	$2,846.13