Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.06 / $4,895.00 / $9,204.83	Facility		$307.06	$4,895.00	$9,204.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.37 / $336.82 / $652.48	Professional		$249.37	$336.82	$652.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.21 / $399.74 / $824.46	Professional		$192.21	$399.74	$824.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $424.37 / $575.25 / $642.77	Professional		$424.37	$575.25	$642.77
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,296.41 / $6,958.22 / $12,349.59	Facility		$6,296.41	$6,958.22	$12,349.59
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.51 / $423.78 / $639.42	Professional		$274.51	$423.78	$639.42
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 $227.34 / $399.67 / $779.67	Professional		$227.34	$399.67	$779.67