Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.78 / $5,721.00 / $10,692.00	Facility		$232.78	$5,721.00	$10,692.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,483.50 / $7,827.65 / $7,827.65	Facility	50	$4,483.50	$7,827.65	$7,827.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.78 / $267.45 / $569.16	Professional		$232.78	$267.45	$569.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.87 / $454.92 / $1,023.97	Professional		$250.87	$454.92	$1,023.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $446.90 / $662.24 / $812.53	Professional		$446.90	$662.24	$812.53
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,581.77 / $14,030.14 / $36,495.49	Facility		$13,581.77	$14,030.14	$36,495.49
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.17 / $408.57 / $621.61	Professional		$192.17	$408.57	$621.61
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.27 / $407.62 / $877.71	Professional		$278.27	$407.62	$877.71