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 $17,960.00 / $26,655.00 / $45,870.00	Facility		$17,960.00	$26,655.00	$45,870.00