Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.73 / $4,973.00 / $9,784.00	Facility		$464.73	$4,973.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.93 / $477.51 / $829.69	Professional		$336.93	$477.51	$829.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.92 / $610.51 / $1,355.10	Professional		$382.92	$610.51	$1,355.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $478.80 / $685.36 / $859.66	Professional		$478.80	$685.36	$859.66
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,243.64 / $3,520.85 / $7,420.39	Facility		$3,243.64	$3,520.85	$7,420.39
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.08 / $569.08 / $1,078.75	Professional		$319.08	$569.08	$1,078.75
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 $431.97 / $711.75 / $1,607.90	Professional		$431.97	$711.75	$1,607.90