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 $6,872.00 / $11,646.00 / $21,974.00	Facility		$6,872.00	$11,646.00	$21,974.00