Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.15 / $5,982.00 / $12,513.00	Facility		$486.15	$5,982.00	$12,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.73 / $1,772.83 / $2,779.39	Professional		$419.73	$1,772.83	$2,779.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.13 / $1,338.38 / $5,814.57	Professional		$439.13	$1,338.38	$5,814.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $775.57 / $2,627.18 / $3,037.53	Professional		$775.57	$2,627.18	$3,037.53
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $35,230.75 / $35,230.75 / $43,656.38	Facility		$35,230.75	$35,230.75	$43,656.38
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.10 / $1,813.98 / $3,417.95	Professional		$350.10	$1,813.98	$3,417.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,579.00 / $9,331.00 / $18,419.00	Facility		$4,579.00	$9,331.00	$18,419.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,718.17 / $2,805.13 / $6,250.77	Professional		$1,718.17	$2,805.13	$6,250.77