Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.77 / $4,174.00 / $9,383.00	Facility		$180.77	$4,174.00	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $203.01 / $442.86	Professional		$149.15	$203.01	$442.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.47 / $250.82 / $521.92	Professional		$148.47	$250.82	$521.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $278.06 / $376.92 / $419.75	Professional		$278.06	$376.92	$419.75
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,615.29 / $6,958.22 / $15,088.81	Facility		$5,615.29	$6,958.22	$15,088.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.50 / $252.76 / $377.49	Professional		$167.50	$252.76	$377.49
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.59 / $252.63 / $491.54	Professional		$139.59	$252.63	$491.54