Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.52 / $4,540.00 / $9,842.00	Facility		$304.52	$4,540.00	$9,842.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,933.00 / $6,827.78 / $8,419.00	Facility	50	$3,933.00	$6,827.78	$8,419.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.95 / $1,028.97 / $1,639.83	Professional		$263.95	$1,028.97	$1,639.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $228.40 / $228.40 / $228.40	Professional	50	$228.40	$228.40	$228.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $821.55 / $2,494.17	Professional		$292.12	$821.55	$2,494.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,400.38 / $1,926.04 / $2,407.80	Professional		$1,400.38	$1,926.04	$2,407.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,175.33 / $7,369.96 / $14,593.52	Facility		$6,175.33	$7,369.96	$14,593.52
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.87 / $1,150.88 / $2,098.04	Professional		$226.87	$1,150.88	$2,098.04
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $8,305.00 / $14,121.00	Facility		$3,885.00	$8,305.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,187.69 / $1,652.23 / $3,126.14	Professional		$1,187.69	$1,652.23	$3,126.14