Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.80 / $5,244.00 / $9,950.00	Facility		$642.80	$5,244.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.59 / $642.80 / $1,075.05	Professional		$533.59	$642.80	$1,075.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.60 / $918.30 / $1,935.57	Professional		$629.60	$918.30	$1,935.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $587.54 / $979.03 / $1,030.83	Professional		$587.54	$979.03	$1,030.83
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,727.22 / $19,746.74 / $35,273.11	Facility		$16,727.22	$19,746.74	$35,273.11
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $574.45 / $778.59 / $1,560.89	Professional		$574.45	$778.59	$1,560.89
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 $537.22 / $806.20 / $1,892.69	Professional		$537.22	$806.20	$1,892.69