Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.38 / $4,540.00 / $9,284.00	Facility		$252.38	$4,540.00	$9,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.15 / $286.91 / $580.85	Professional		$203.15	$286.91	$580.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.26 / $322.29 / $687.35	Professional		$154.26	$322.29	$687.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $349.87 / $474.26 / $534.60	Professional		$349.87	$474.26	$534.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,178.88 / $6,991.24 / $8,000.16	Facility		$3,178.88	$6,991.24	$8,000.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.79 / $345.50 / $520.96	Professional		$223.79	$345.50	$520.96
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 $189.08 / $320.39 / $647.89	Professional		$189.08	$320.39	$647.89