Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.48 / $6,515.00 / $11,298.00	Facility		$960.48	$6,515.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.42 / $772.97 / $1,408.70	Professional		$647.42	$772.97	$1,408.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $590.69 / $1,212.61 / $2,499.83	Professional		$590.69	$1,212.61	$2,499.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $938.22 / $1,282.71 / $1,509.03	Professional		$938.22	$1,282.71	$1,509.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,989.59 / $13,180.88 / $29,209.37	Facility		$11,989.59	$13,180.88	$29,209.37
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $639.83 / $890.46 / $1,612.30	Professional		$639.83	$890.46	$1,612.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $9,969.00 / $19,696.00	Facility		$5,682.00	$9,969.00	$19,696.00
United Facility/Professional Professional Modifier Low / Median / High Price $598.11 / $791.20 / $1,904.03	Professional		$598.11	$791.20	$1,904.03