Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.30 / $5,843.00 / $13,092.00	Facility		$470.30	$5,843.00	$13,092.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8,161.00 / $8,161.00 / $8,161.00	Facility		$8,161.00	$8,161.00	$8,161.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,576.03 / $7,138.04 / $14,000.33	Facility		$6,576.03	$7,138.04	$14,000.33
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