Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.63 / $5,982.00 / $10,871.00	Facility		$744.63	$5,982.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $629.89 / $744.63 / $1,244.08	Professional		$629.89	$744.63	$1,244.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $728.59 / $1,060.60 / $2,244.92	Professional		$728.59	$1,060.60	$2,244.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $679.48 / $1,116.47 / $1,192.05	Professional		$679.48	$1,116.47	$1,192.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,727.22 / $19,746.74 / $33,122.22	Facility		$16,727.22	$19,746.74	$33,122.22
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $665.06 / $901.04 / $1,788.55	Professional		$665.06	$901.04	$1,788.55
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 $620.61 / $853.48 / $2,192.13	Professional		$620.61	$853.48	$2,192.13