Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.71 / $4,025.00 / $8,419.00	Facility		$242.71	$4,025.00	$8,419.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.63 / $269.52 / $527.66	Professional		$192.63	$269.52	$527.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.85 / $306.45 / $648.96	Professional		$160.85	$306.45	$648.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $328.02 / $444.65 / $501.19	Professional		$328.02	$444.65	$501.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,178.88 / $3,564.48 / $7,512.32	Facility		$3,178.88	$3,564.48	$7,512.32
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.28 / $334.13 / $506.04	Professional		$214.28	$334.13	$506.04
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 $181.66 / $300.81 / $608.38	Professional		$181.66	$300.81	$608.38