Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,918.31 / $10,964.78	Facility		$3,715.35	$6,918.31	$10,964.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,511.89 / $6,025.60 / $16,218.10	Facility	50	$2,511.89	$6,025.60	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,862.09	Professional		$549.54	$741.31	$1,862.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $741.31 / $1,071.52 / $1,995.26	Professional	50	$741.31	$1,071.52	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $758.58 / $1,949.84	Professional		$478.63	$758.58	$1,949.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,202.26	Professional		$660.69	$912.01	$1,202.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $7,244.36 / $11,748.98	Facility		$4,677.35	$7,244.36	$11,748.98
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $851.14 / $1,479.11	Professional		$489.78	$851.14	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $6,606.93 / $10,964.78	Facility		$2,884.03	$6,606.93	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $1,288.25	Professional		$446.68	$676.08	$1,288.25