Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,817.00 / $4,817.00 / $4,817.00	Facility		$4,817.00	$4,817.00	$4,817.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,978.00 / $16,472.00 / $25,865.00	Facility		$10,978.00	$16,472.00	$25,865.00