Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.45 / $4,679.00 / $10,202.00	Facility		$685.45	$4,679.00	$10,202.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,492.75 / $2,697.25 / $10,882.00	Facility	50	$2,492.75	$2,697.25	$10,882.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.29 / $703.40 / $970.68	Professional		$548.29	$703.40	$970.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.71 / $804.34 / $1,915.52	Professional		$480.71	$804.34	$1,915.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $658.97 / $873.19 / $2,054.08	Professional		$658.97	$873.19	$2,054.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,728.33 / $5,671.88 / $12,299.42	Facility		$4,728.33	$5,671.88	$12,299.42
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.68 / $780.09 / $1,104.48	Professional		$489.68	$780.09	$1,104.48
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 $589.26 / $808.89 / $1,445.00	Professional		$589.26	$808.89	$1,445.00