Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.30 / $4,908.00 / $9,842.00	Facility		$147.30	$4,908.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.12 / $159.56 / $346.92	Professional		$108.12	$159.56	$346.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.82 / $171.96 / $371.40	Professional		$88.82	$171.96	$371.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.54 / $285.39 / $324.93	Professional		$210.54	$285.39	$324.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,567.69 / $1,647.48 / $3,262.23	Facility		$1,567.69	$1,647.48	$3,262.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.26 / $201.65 / $312.02	Professional		$118.26	$201.65	$312.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.92 / $201.65 / $401.29	Professional		$114.92	$201.65	$401.29