Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.94 / $5,695.00 / $10,871.00	Facility		$924.94	$5,695.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $743.47 / $1,086.41 / $1,516.28	Professional		$743.47	$1,086.41	$1,516.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.86 / $1,653.85 / $4,236.02	Professional		$1,052.86	$1,653.85	$4,236.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,144.39 / $1,580.34 / $2,037.89	Professional		$1,144.39	$1,580.34	$2,037.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,831.30 / $3,957.78 / $9,642.04	Facility		$3,831.30	$3,957.78	$9,642.04
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,053.68 / $1,352.92 / $2,836.76	Professional		$1,053.68	$1,352.92	$2,836.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,766.75 / $5,523.00 / $9,152.00	Facility		$3,766.75	$5,523.00	$9,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $794.53 / $1,516.44 / $2,999.07	Professional		$794.53	$1,516.44	$2,999.07