Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.59 / $4,037.00 / $8,337.00	Facility		$174.59	$4,037.00	$8,337.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.53 / $201.12 / $607.15	Professional		$150.53	$201.12	$607.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.70 / $238.74 / $472.72	Professional		$119.70	$238.74	$472.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $249.85 / $338.68 / $380.65	Professional		$249.85	$338.68	$380.65
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 $167.61 / $249.42 / $361.54	Professional		$167.61	$249.42	$361.54
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 $134.25 / $210.98 / $450.40	Professional		$134.25	$210.98	$450.40