Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.65 / $5,905.00 / $10,692.00	Facility		$572.65	$5,905.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.15 / $572.65 / $917.27	Professional		$428.15	$572.65	$917.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.25 / $883.77 / $2,063.17	Professional		$453.25	$883.77	$2,063.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $743.11 / $976.47 / $1,200.71	Professional		$743.11	$976.47	$1,200.71
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,606.42 / $13,851.67 / $29,209.37	Facility		$11,606.42	$13,851.67	$29,209.37
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.28 / $691.41 / $1,107.69	Professional		$419.28	$691.41	$1,107.69
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 $485.40 / $634.46 / $1,360.62	Professional		$485.40	$634.46	$1,360.62