Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.83 / $6,515.00 / $11,298.00	Facility		$897.83	$6,515.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.26 / $705.58 / $1,159.23	Professional		$626.26	$705.58	$1,159.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $646.20 / $1,046.08 / $2,167.46	Professional		$646.20	$1,046.08	$2,167.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $784.46 / $1,066.92 / $1,268.42	Professional		$784.46	$1,066.92	$1,268.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,151.83 / $4,980.33 / $9,498.02	Facility		$4,151.83	$4,980.33	$9,498.02
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.20 / $752.66 / $1,389.99	Professional		$561.20	$752.66	$1,389.99
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.54 / $736.39 / $1,560.00	Professional		$446.54	$736.39	$1,560.00