Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $4,991.97	Facility		$1,275.00	$1,275.00	$4,991.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,035.00 / $1,245.00 / $1,275.00	Professional		$1,035.00	$1,245.00	$1,275.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,275.00 / $1,320.00	Facility		$1,020.00	$1,275.00	$1,320.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Professional		$1,275.00	$1,275.00	$1,275.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $918.00 / $1,020.00 / $1,686.63	Professional		$918.00	$1,020.00	$1,686.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,785.00 / $13,785.00 / $13,785.00	Facility		$13,785.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Professional		$1,020.00	$1,020.00	$1,020.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $1,392.56	Professional		$1,250.00	$1,250.00	$1,392.56