Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,608.10 / $1,608.10 / $1,608.10	Facility		$1,608.10	$1,608.10	$1,608.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,608.10 / $1,954.17 / $2,845.12	Professional		$1,608.10	$1,954.17	$2,845.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,502.67 / $2,502.67 / $4,375.91	Facility		$2,502.67	$2,502.67	$4,375.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,826.95 / $1,826.95 / $3,831.70	Professional		$1,826.95	$1,826.95	$3,831.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,997.73 / $4,025.84 / $5,732.44	Professional		$3,997.73	$4,025.84	$5,732.44
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,165.06 / $4,375.91 / $4,375.91	Professional		$4,165.06	$4,375.91	$4,375.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,973.12 / $2,362.44 / $4,375.91	Professional		$1,973.12	$2,362.44	$4,375.91