Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,888.44 / $10,715.19	Facility		$4,365.16	$5,888.44	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $3,467.37	Professional		$812.83	$977.24	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,380.38 / $3,311.31	Professional		$870.96	$1,380.38	$3,311.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,548.82	Professional		$891.25	$1,122.02	$1,548.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $21,877.62 / $38,904.51	Facility		$14,125.38	$21,877.62	$38,904.51
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $3,801.89	Professional		$870.96	$1,258.93	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $9,120.11 / $21,379.62	Facility		$4,570.88	$9,120.11	$21,379.62
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,071.52 / $2,137.96	Professional		$602.56	$1,071.52	$2,137.96