Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.81 / $2,156.00 / $6,986.00	Facility		$119.81	$2,156.00	$6,986.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.90 / $135.13 / $288.76	Professional		$97.90	$135.13	$288.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.50 / $164.12 / $344.22	Professional		$96.50	$164.12	$344.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $175.95 / $238.51 / $270.41	Professional		$175.95	$238.51	$270.41
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,564.48 / $3,939.13 / $7,512.32	Facility		$3,564.48	$3,939.13	$7,512.32
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.23 / $168.39 / $252.42	Professional		$112.23	$168.39	$252.42
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 $89.68 / $162.24 / $323.25	Professional		$89.68	$162.24	$323.25