Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.97 / $4,667.00 / $10,202.00	Facility		$755.97	$4,667.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.91 / $649.82 / $1,013.14	Professional		$495.91	$649.82	$1,013.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.90 / $941.90 / $1,921.81	Professional		$557.90	$941.90	$1,921.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $677.93 / $917.34 / $1,096.78	Professional		$677.93	$917.34	$1,096.78
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,973.98 / $9,973.98 / $12,359.29	Facility		$9,973.98	$9,973.98	$12,359.29
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.75 / $658.18 / $1,191.52	Professional		$490.75	$658.18	$1,191.52
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 $439.76 / $611.27 / $1,364.19	Professional		$439.76	$611.27	$1,364.19