Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,559.92 / $6,986.00 / $11,798.00	Facility		$1,559.92	$6,986.00	$11,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,075.38 / $1,375.82 / $1,999.85	Professional		$1,075.38	$1,375.82	$1,999.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,078.29 / $1,599.57 / $3,636.28	Professional		$1,078.29	$1,599.57	$3,636.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,243.85 / $1,630.40 / $3,835.32	Professional		$1,243.85	$1,630.40	$3,835.32
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,642.89 / $9,168.06 / $18,619.81	Facility		$7,642.89	$9,168.06	$18,619.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,098.71 / $1,521.70 / $2,135.33	Professional		$1,098.71	$1,521.70	$2,135.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $8,305.00 / $14,121.00	Facility		$3,885.00	$8,305.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,002.30 / $1,453.86 / $2,581.37	Professional		$1,002.30	$1,453.86	$2,581.37