Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.37 / $3,883.00 / $9,125.00	Facility		$202.37	$3,883.00	$9,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.66 / $227.58 / $928.82	Professional		$155.66	$227.58	$928.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.05 / $261.37 / $537.60	Professional		$149.05	$261.37	$537.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.02 / $372.82 / $420.57	Professional		$275.02	$372.82	$420.57
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,939.13 / $6,991.24 / $8,541.95	Facility		$3,939.13	$6,991.24	$8,541.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.21 / $289.02 / $410.88	Professional		$174.21	$289.02	$410.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.75 / $268.06 / $521.90	Professional		$148.75	$268.06	$521.90