Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,014.12 / $6,064.00 / $10,692.00	Facility		$1,014.12	$6,064.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,054.90 / $1,333.45 / $2,238.19	Professional		$1,054.90	$1,333.45	$2,238.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,171.28 / $1,834.34 / $4,084.92	Professional		$1,171.28	$1,834.34	$4,084.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,252.32 / $1,833.10 / $2,281.10	Professional		$1,252.32	$1,833.10	$2,281.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,615.29 / $5,800.66 / $15,088.81	Facility		$5,615.29	$5,800.66	$15,088.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,191.97 / $1,574.49 / $3,331.63	Professional		$1,191.97	$1,574.49	$3,331.63
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,010.99 / $1,666.40 / $3,946.03	Professional		$1,010.99	$1,666.40	$3,946.03