Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,495.41 / $10,964.78	Facility		$1,862.09	$5,495.41	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $2,344.23 / $4,897.79	Professional		$154.88	$2,344.23	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $2,089.30 / $8,128.31	Professional		$194.98	$2,089.30	$8,128.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $3,162.28 / $4,897.79	Professional		$275.42	$3,162.28	$4,897.79
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $19,054.61 / $30,199.52	Facility		$12,022.64	$19,054.61	$30,199.52
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $2,884.03 / $6,165.95	Professional		$141.25	$2,884.03	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $8,709.64 / $21,379.62	Facility		$3,890.45	$8,709.64	$21,379.62
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,230.27 / $6,025.60	Professional		$100.00	$1,230.27	$6,025.60