Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.58 / $6,016.00 / $11,298.00	Facility		$805.58	$6,016.00	$11,298.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,492.75 / $2,492.75 / $2,492.75	Facility	50	$2,492.75	$2,492.75	$2,492.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.02 / $979.47 / $1,369.89	Professional		$725.02	$979.47	$1,369.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.32 / $1,099.22 / $2,740.30	Professional		$761.32	$1,099.22	$2,740.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $893.86 / $1,157.04 / $2,721.79	Professional		$893.86	$1,157.04	$2,721.79
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,462.69 / $6,448.77 / $11,519.32	Facility		$5,462.69	$6,448.77	$11,519.32
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $766.13 / $991.70 / $1,508.34	Professional		$766.13	$991.70	$1,508.34
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $7,250.00 / $10,536.00	Facility		$3,885.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $719.33 / $924.13 / $1,799.99	Professional		$719.33	$924.13	$1,799.99