Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.31 / $5,975.00 / $10,692.00	Facility		$496.31	$5,975.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.70 / $440.96 / $720.63	Professional		$390.70	$440.96	$720.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.52 / $656.91 / $1,338.16	Professional		$425.52	$656.91	$1,338.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $375.82 / $656.05 / $671.31	Professional		$375.82	$656.05	$671.31
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,715.96 / $15,917.17 / $33,122.22	Facility		$15,715.96	$15,917.17	$33,122.22
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.59 / $530.42 / $1,100.66	Professional		$351.59	$530.42	$1,100.66
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $10,536.00 / $23,291.00	Facility		$5,682.00	$10,536.00	$23,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $361.29 / $563.36 / $1,270.63	Professional		$361.29	$563.36	$1,270.63