Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.87 / $4,540.00 / $9,284.00	Facility		$217.87	$4,540.00	$9,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.37 / $332.82 / $673.79	Professional		$243.37	$332.82	$673.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.82 / $386.95 / $798.03	Professional		$197.82	$386.95	$798.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $404.36 / $548.13 / $616.47	Professional		$404.36	$548.13	$616.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,939.13 / $3,939.13 / $3,939.13	Facility		$3,939.13	$3,939.13	$3,939.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.72 / $400.97 / $578.83	Professional		$265.72	$400.97	$578.83
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 $229.83 / $384.38 / $749.32	Professional		$229.83	$384.38	$749.32