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 $1,445.44 / $2,398.83 / $4,570.88	Professional		$1,445.44	$2,398.83	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,884.03 / $7,244.36	Professional		$1,445.44	$2,884.03	$7,244.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $3,801.89	Professional		$2,454.71	$3,162.28	$3,801.89
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 $1,737.80 / $2,398.83 / $5,754.40	Professional		$1,737.80	$2,398.83	$5,754.40
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 $1,778.28 / $2,511.89 / $5,754.40	Professional		$1,778.28	$2,511.89	$5,754.40