Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,297.00 / $5,559.00 / $10,202.00	Facility		$2,297.00	$5,559.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.32 / $141.19 / $172.45	Professional		$123.32	$141.19	$172.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.11 / $226.11 / $226.11	Professional		$226.11	$226.11	$226.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $198.15 / $198.15 / $198.15	Professional		$198.15	$198.15	$198.15
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.66 / $144.41 / $275.42	Facility		$130.66	$144.41	$275.42
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.25 / $136.03 / $202.72	Professional		$112.25	$136.03	$202.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $169.51 / $272.67	Professional		$106.74	$169.51	$272.67