Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.54 / $4,174.00 / $8,155.00	Facility		$191.54	$4,174.00	$8,155.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.27 / $526.75 / $857.47	Professional		$129.27	$526.75	$857.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.04 / $321.02 / $1,204.02	Professional		$121.04	$321.02	$1,204.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $643.57 / $872.40 / $1,004.40	Professional		$643.57	$872.40	$1,004.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $1,710.56 / $3,474.07	Facility		$1,426.00	$1,710.56	$3,474.07
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.15 / $625.77 / $1,149.63	Professional		$128.15	$625.77	$1,149.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $379.59 / $633.30 / $1,545.62	Professional		$379.59	$633.30	$1,545.62