Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.53 / $4,667.00 / $10,202.00	Facility		$701.53	$4,667.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.53 / $604.41 / $948.94	Professional		$463.53	$604.41	$948.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.01 / $874.36 / $1,783.48	Professional		$518.01	$874.36	$1,783.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.36 / $852.53 / $1,019.39	Professional		$630.36	$852.53	$1,019.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,142.74 / $20,603.88 / $48,751.26	Facility		$18,142.74	$20,603.88	$48,751.26
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.51 / $605.69 / $1,212.07	Professional		$455.51	$605.69	$1,212.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $409.57 / $616.04 / $1,266.22	Professional		$409.57	$616.04	$1,266.22