Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.26 / $4,873.00 / $10,871.00	Facility		$419.26	$4,873.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.26 / $545.11 / $800.76	Professional		$419.26	$545.11	$800.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.78 / $648.16 / $1,470.97	Professional		$368.78	$648.16	$1,470.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $583.13 / $765.78 / $1,801.40	Professional		$583.13	$765.78	$1,801.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,671.88 / $5,671.88 / $10,816.89	Facility		$5,671.88	$5,671.88	$10,816.89
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.83 / $645.55 / $925.38	Professional		$375.83	$645.55	$925.38
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 $486.01 / $728.76 / $1,272.30	Professional		$486.01	$728.76	$1,272.30