Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.29 / $5,834.00 / $10,202.00	Facility		$396.29	$5,834.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.35 / $401.72 / $545.80	Professional		$345.35	$401.72	$545.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.01 / $581.97 / $1,212.85	Professional		$297.01	$581.97	$1,212.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $568.85 / $617.57 / $687.28	Professional		$568.85	$617.57	$687.28
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,175.33 / $6,175.33 / $7,652.20	Facility		$6,175.33	$6,175.33	$7,652.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.23 / $385.16 / $809.54	Professional		$304.23	$385.16	$809.54
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 $333.14 / $433.66 / $1,038.80	Professional		$333.14	$433.66	$1,038.80