Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.38 / $4,516.00 / $9,784.00	Facility		$234.38	$4,516.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.55 / $396.04 / $783.85	Professional		$279.55	$396.04	$783.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.89 / $451.42 / $939.35	Professional		$269.89	$451.42	$939.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $553.87 / $750.80 / $839.29	Professional		$553.87	$750.80	$839.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,615.29 / $6,296.41 / $15,088.81	Facility		$5,615.29	$6,296.41	$15,088.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.79 / $504.35 / $748.25	Professional		$307.79	$504.35	$748.25
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 $273.89 / $485.94 / $980.72	Professional		$273.89	$485.94	$980.72