Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,918.31 / $11,748.98	Facility		$4,365.16	$6,918.31	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $2,691.53	Professional		$1,202.26	$1,445.44	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $4,677.35	Professional		$1,258.93	$1,995.26	$4,677.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $2,344.23	Professional		$1,513.56	$1,949.84	$2,344.23
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $3,388.44	Professional		$1,023.29	$1,412.54	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,888.44 / $10,471.29	Facility		$1,698.24	$5,888.44	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $3,467.37	Professional		$1,148.15	$1,513.56	$3,467.37