Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,546.82 / $6,321.00 / $11,557.00	Facility		$1,546.82	$6,321.00	$11,557.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,119.10 / $1,261.33 / $2,131.69	Professional		$1,119.10	$1,261.33	$2,131.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,014.94 / $1,649.27 / $3,262.77	Professional		$1,014.94	$1,649.27	$3,262.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,356.51 / $1,950.34 / $2,359.19	Professional		$1,356.51	$1,950.34	$2,359.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $25,311.77 / $25,311.77 / $54,888.28	Facility		$25,311.77	$25,311.77	$54,888.28
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,027.45 / $1,457.59 / $2,444.53	Professional		$1,027.45	$1,457.59	$2,444.53
United Facility/Professional Facility Modifier Low / Median / High Price $5,941.00 / $11,835.00 / $27,151.00	Facility		$5,941.00	$11,835.00	$27,151.00
United Facility/Professional Professional Modifier Low / Median / High Price $867.63 / $1,344.45 / $2,762.31	Professional		$867.63	$1,344.45	$2,762.31