Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.99 / $6,321.00 / $11,298.00	Facility		$673.99	$6,321.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.40 / $642.00 / $917.55	Professional		$490.40	$642.00	$917.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $707.01 / $2,018.04 / $2,092.69	Professional	50	$707.01	$2,018.04	$2,092.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.50 / $737.50 / $1,736.14	Professional		$434.50	$737.50	$1,736.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $664.94 / $877.78 / $2,064.87	Professional		$664.94	$877.78	$2,064.87
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,577.22 / $5,671.88 / $10,816.89	Facility		$4,577.22	$5,671.88	$10,816.89
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.51 / $779.86 / $1,093.26	Professional		$444.51	$779.86	$1,093.26
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 $525.29 / $825.14 / $1,455.52	Professional		$525.29	$825.14	$1,455.52