Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.33 / $4,540.00 / $10,871.00	Facility		$1,084.33	$4,540.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,084.33 / $1,278.41 / $2,164.55	Professional		$1,084.33	$1,278.41	$2,164.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,019.13 / $1,664.01 / $3,357.93	Professional		$1,019.13	$1,664.01	$3,357.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,395.57 / $2,016.18 / $2,433.81	Professional		$1,395.57	$2,016.18	$2,433.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,209.17 / $1,520.67 / $2,598.34	Professional		$1,209.17	$1,520.67	$2,598.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,627.00 / $6,590.00 / $10,536.00	Facility		$1,627.00	$6,590.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $822.52 / $1,336.69 / $2,756.55	Professional		$822.52	$1,336.69	$2,756.55