Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,626.00 / $6,438.00 / $12,384.00	Facility		$2,626.00	$6,438.00	$12,384.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.95 / $380.95 / $5,695.00	Professional		$380.95	$380.95	$5,695.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55,249.45 / $55,249.45 / $55,249.45	Professional		$55,249.45	$55,249.45	$55,249.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,195.32 / $2,279.40 / $4,942.85	Facility		$2,195.32	$2,279.40	$4,942.85
United Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $5,225.00 / $10,536.00	Facility		$3,204.00	$5,225.00	$10,536.00