Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,463.88 / $5,982.00 / $10,871.00	Facility		$1,463.88	$5,982.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,245.33 / $1,520.45 / $2,379.92	Professional		$1,245.33	$1,520.45	$2,379.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,253.64 / $2,135.12 / $4,493.18	Professional		$1,253.64	$2,135.12	$4,493.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,597.69 / $2,168.94 / $2,584.73	Professional		$1,597.69	$2,168.94	$2,584.73
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,359.29 / $12,359.29 / $26,801.02	Facility		$12,359.29	$12,359.29	$26,801.02
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,151.75 / $1,594.12 / $2,859.23	Professional		$1,151.75	$1,594.12	$2,859.23
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $9,969.00 / $19,696.00	Facility		$5,682.00	$9,969.00	$19,696.00
United Facility/Professional Professional Modifier Low / Median / High Price $948.35 / $1,495.82 / $3,201.63	Professional		$948.35	$1,495.82	$3,201.63