Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,715.00 / $5,192.00 / $10,692.00	Facility		$1,715.00	$5,192.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.44 / $315.83 / $315.83	Professional		$179.44	$315.83	$315.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.12 / $267.12 / $320.04	Professional		$267.12	$267.12	$320.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $167.59 / $270.30 / $376.47	Professional		$167.59	$270.30	$376.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,831.30 / $4,747.57 / $10,295.07	Facility		$3,831.30	$4,747.57	$10,295.07
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.63 / $229.03 / $424.18	Professional		$163.63	$229.03	$424.18
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $9,969.00 / $19,696.00	Facility		$5,682.00	$9,969.00	$19,696.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.07 / $277.39 / $697.98	Professional		$192.07	$277.39	$697.98