Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,709.64 / $13,182.57	Facility		$4,570.88	$8,709.64	$13,182.57
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility	52	$11,220.18	$11,220.18	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $5,248.07	Professional		$954.99	$1,348.96	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,380.38 / $3,162.28	Professional		$676.08	$1,380.38	$3,162.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,737.80	Professional		$977.24	$1,318.26	$1,737.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $19,054.61 / $30,199.52	Facility		$12,022.64	$19,054.61	$30,199.52
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $2,511.89	Professional		$812.83	$1,230.27	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $9,120.11 / $21,379.62	Facility		$4,570.88	$9,120.11	$21,379.62
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $2,041.74	Professional		$707.95	$954.99	$2,041.74