Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.73 / $5,982.00 / $11,298.00	Facility		$1,100.73	$5,982.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $936.58 / $1,090.34 / $1,172.13	Professional		$936.58	$1,090.34	$1,172.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $936.35 / $1,498.24 / $3,102.06	Professional		$936.35	$1,498.24	$3,102.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,474.08 / $1,620.65 / $1,803.59	Professional		$1,474.08	$1,620.65	$1,803.59
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,892.36 / $13,142.33 / $25,063.76	Facility		$11,892.36	$13,142.33	$25,063.76
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.35 / $983.50 / $1,887.56	Professional		$789.35	$983.50	$1,887.56
United Facility/Professional Facility Modifier Low / Median / High Price $6,624.00 / $10,536.00 / $23,258.00	Facility		$6,624.00	$10,536.00	$23,258.00
United Facility/Professional Professional Modifier Low / Median / High Price $876.17 / $1,147.16 / $2,735.49	Professional		$876.17	$1,147.16	$2,735.49