Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.69 / $4,468.00 / $9,784.00	Facility		$253.69	$4,468.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.83 / $419.35 / $927.18	Professional		$301.83	$419.35	$927.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.33 / $468.39 / $977.24	Professional		$287.33	$468.39	$977.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $568.55 / $770.71 / $864.10	Professional		$568.55	$770.71	$864.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,958.22 / $7,911.28 / $12,349.59	Facility		$6,958.22	$7,911.28	$12,349.59
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.54 / $522.01 / $777.49	Professional		$327.54	$522.01	$777.49
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 $300.41 / $522.01 / $1,038.80	Professional		$300.41	$522.01	$1,038.80