Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Facility		$1,870.00	$1,870.00	$1,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,518.00 / $1,826.00 / $1,870.00	Professional		$1,518.00	$1,826.00	$1,870.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,870.00 / $2,244.00 / $2,904.00	Facility		$1,870.00	$2,244.00	$2,904.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Professional		$1,870.00	$1,870.00	$1,870.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,980.00	Professional		$1,870.00	$1,870.00	$1,980.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Professional		$1,870.00	$1,870.00	$1,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $2,513.28	Professional		$2,200.00	$2,200.00	$2,513.28