Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.21 / $5,009.00 / $9,784.00	Facility		$657.21	$5,009.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.29 / $564.28 / $961.42	Professional		$449.29	$564.28	$961.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.49 / $722.08 / $1,439.97	Professional		$447.49	$722.08	$1,439.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $617.54 / $892.98 / $1,080.03	Professional		$617.54	$892.98	$1,080.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,380.51 / $6,421.38 / $12,715.20	Facility		$5,380.51	$6,421.38	$12,715.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.91 / $646.23 / $1,097.47	Professional		$466.91	$646.23	$1,097.47
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $7,188.00 / $10,536.00	Facility		$3,885.00	$7,188.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $353.19 / $593.73 / $1,307.10	Professional		$353.19	$593.73	$1,307.10