Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.40 / $983.50 / $4,245.78	Facility		$393.40	$983.50	$4,245.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.40 / $578.97 / $630.92	Professional		$393.40	$578.97	$630.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $725.57 / $1,096.58 / $2,336.84	Facility		$725.57	$1,096.58	$2,336.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $519.59 / $972.37 / $1,352.42	Professional		$519.59	$972.37	$1,352.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $519.59 / $519.59 / $8,702.00	Facility		$519.59	$519.59	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.59 / $519.59 / $519.59	Professional		$519.59	$519.59	$519.59
United Facility/Professional Professional Modifier Low / Median / High Price $296.91 / $445.36 / $757.12	Professional		$296.91	$445.36	$757.12