Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,520.14 / $6,986.00 / $11,798.00	Facility		$1,520.14	$6,986.00	$11,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,110.29 / $1,232.44 / $2,112.31	Professional		$1,110.29	$1,232.44	$2,112.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,100.00 / $1,892.81 / $3,527.14	Professional		$1,100.00	$1,892.81	$3,527.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,437.91 / $1,916.60 / $2,296.86	Professional		$1,437.91	$1,916.60	$2,296.86
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,685.21 / $9,685.21 / $22,888.08	Facility		$9,685.21	$9,685.21	$22,888.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,020.09 / $1,308.11 / $2,343.42	Professional		$1,020.09	$1,308.11	$2,343.42
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 $1,117.88 / $1,569.15 / $2,835.64	Professional		$1,117.88	$1,569.15	$2,835.64