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 $891.25 / $1,023.29 / $3,630.78	Professional		$891.25	$1,023.29	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $3,090.30	Professional		$912.01	$1,348.96	$3,090.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,659.59	Professional		$954.99	$1,202.26	$1,659.59
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $22,908.68 / $36,307.81	Facility		$14,791.08	$22,908.68	$36,307.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $3,981.07	Professional		$891.25	$1,288.25	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $9,120.11 / $21,379.62	Facility		$4,570.88	$9,120.11	$21,379.62
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $2,454.71	Professional		$776.25	$1,047.13	$2,454.71