Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $1,905.46	Facility		$1,000.00	$1,412.54	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $3,630.78	Professional		$954.99	$1,380.38	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,584.89 / $3,235.94	Professional		$1,000.00	$1,584.89	$3,235.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $1,995.26	Professional		$1,047.13	$1,698.24	$1,995.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $3,630.78	Professional		$1,513.56	$1,949.84	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,897.79 / $10,471.29	Facility		$1,318.26	$4,897.79	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $2,344.23	Professional		$1,047.13	$1,621.81	$2,344.23