Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,032.75 / $5,244.00 / $9,950.00	Facility		$1,032.75	$5,244.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.34 / $1,024.79 / $1,716.26	Professional		$876.34	$1,024.79	$1,716.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $941.24 / $1,552.23 / $3,661.42	Professional		$941.24	$1,552.23	$3,661.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $927.86 / $1,301.78 / $1,625.45	Professional		$927.86	$1,301.78	$1,625.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,564.67 / $14,088.74 / $29,692.75	Facility		$12,564.67	$14,088.74	$29,692.75
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $910.75 / $1,239.79 / $2,545.60	Professional		$910.75	$1,239.79	$2,545.60
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 $826.65 / $1,326.62 / $3,068.73	Professional		$826.65	$1,326.62	$3,068.73