Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,220.63 / $6,565.03 / $11,332.00	Facility		$1,220.63	$6,565.03	$11,332.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $400.18 / $400.18 / $889.79	Facility	52	$400.18	$400.18	$889.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.35 / $976.77 / $1,779.57	Professional		$800.35	$976.77	$1,779.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.16 / $1,501.63 / $3,175.02	Professional		$722.16	$1,501.63	$3,175.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,180.84 / $1,615.27 / $1,899.26	Professional		$1,180.84	$1,615.27	$1,899.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,014.26 / $13,851.67 / $27,428.23	Facility		$13,014.26	$13,851.67	$27,428.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $808.66 / $1,078.02 / $1,812.19	Professional		$808.66	$1,078.02	$1,812.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $8,558.00 / $15,604.00	Facility		$3,885.00	$8,558.00	$15,604.00
United Facility/Professional Professional Modifier Low / Median / High Price $760.25 / $1,109.23 / $2,176.69	Professional		$760.25	$1,109.23	$2,176.69