Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.65 / $5,905.00 / $10,692.00	Facility		$1,296.65	$5,905.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,098.26 / $1,296.65 / $2,173.59	Professional		$1,098.26	$1,296.65	$2,173.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,264.05 / $1,852.36 / $3,894.35	Professional		$1,264.05	$1,852.36	$3,894.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,176.49 / $1,922.77 / $2,055.42	Professional		$1,176.49	$1,922.77	$2,055.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $31,281.82 / $35,566.51 / $59,657.57	Facility		$31,281.82	$35,566.51	$59,657.57
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,152.31 / $1,568.63 / $3,051.59	Professional		$1,152.31	$1,568.63	$3,051.59
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 $1,068.25 / $1,628.49 / $3,752.15	Professional		$1,068.25	$1,628.49	$3,752.15