Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,495.41 / $10,715.19	Facility		$2,754.23	$5,495.41	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $524.81 / $1,621.81	Professional		$457.09	$524.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $741.31 / $1,659.59	Professional		$446.68	$741.31	$1,659.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $812.83	Professional		$446.68	$616.60	$812.83
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,220.18 / $17,378.01	Facility		$6,918.31	$11,220.18	$17,378.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $1,174.90	Professional		$398.11	$549.54	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,801.89 / $7,943.28	Facility		$1,862.09	$3,801.89	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $1,071.52	Professional		$316.23	$489.78	$1,071.52