Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $2,630.27	Professional		$1,230.27	$1,548.82	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $3,630.78	Facility		$1,778.28	$1,778.28	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,778.28	Professional		$1,288.25	$1,288.25	$1,778.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,801.89 / $5,248.07	Professional		$2,344.23	$3,801.89	$5,248.07
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $3,630.78	Facility		$1,621.81	$2,137.96	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $2,754.23	Professional		$1,412.54	$1,862.09	$2,754.23