Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.87 / $5,009.00 / $9,842.00	Facility		$758.87	$5,009.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.52 / $751.27 / $1,244.30	Professional		$643.52	$751.27	$1,244.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $692.37 / $1,141.38 / $2,685.19	Professional		$692.37	$1,141.38	$2,685.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $677.95 / $971.10 / $1,190.09	Professional		$677.95	$971.10	$1,190.09
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,979.47 / $17,702.16 / $33,762.47	Facility		$12,979.47	$17,702.16	$33,762.47
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $667.91 / $919.28 / $1,911.06	Professional		$667.91	$919.28	$1,911.06
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 $609.03 / $1,013.49 / $2,375.42	Professional		$609.03	$1,013.49	$2,375.42