Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,552.89 / $6,986.00 / $12,831.00	Facility		$1,552.89	$6,986.00	$12,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,082.24 / $1,258.58 / $1,552.89	Professional		$1,082.24	$1,258.58	$1,552.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,212.26 / $1,859.11 / $4,169.14	Professional		$1,212.26	$1,859.11	$4,169.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,918.54 / $2,067.41 / $2,300.78	Professional		$1,918.54	$2,067.41	$2,300.78
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,924.40 / $7,652.20 / $16,593.68	Facility		$6,924.40	$7,652.20	$16,593.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,024.13 / $1,296.55 / $2,298.81	Professional		$1,024.13	$1,296.55	$2,298.81
United Facility/Professional Facility Modifier Low / Median / High Price $5,378.00 / $8,305.00 / $14,121.00	Facility		$5,378.00	$8,305.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,130.17 / $1,465.43 / $3,644.65	Professional		$1,130.17	$1,465.43	$3,644.65