Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.75 / $5,695.00 / $10,871.00	Facility		$767.75	$5,695.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.92 / $745.25 / $1,200.55	Professional		$659.92	$745.25	$1,200.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $697.78 / $1,122.58 / $2,702.23	Professional		$697.78	$1,122.58	$2,702.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $663.34 / $991.09 / $1,226.30	Professional		$663.34	$991.09	$1,226.30
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,957.78 / $3,957.78 / $4,747.57	Facility		$3,957.78	$3,957.78	$4,747.57
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $657.90 / $899.97 / $1,720.17	Professional		$657.90	$899.97	$1,720.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,879.00 / $5,864.00 / $10,105.00	Facility		$2,879.00	$5,864.00	$10,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $600.92 / $973.84 / $2,284.80	Professional		$600.92	$973.84	$2,284.80