Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.26 / $4,174.00 / $9,842.00	Facility		$162.26	$4,174.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $167.83 / $339.33	Professional		$113.14	$167.83	$339.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.86 / $201.78 / $401.91	Professional		$111.86	$201.78	$401.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $230.23 / $312.08 / $350.73	Professional		$230.23	$312.08	$350.73
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,346.67 / $1,488.21 / $2,641.30	Facility		$1,346.67	$1,488.21	$2,641.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.36 / $214.07 / $323.54	Professional		$124.36	$214.07	$323.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $210.85 / $444.31	Professional		$124.05	$210.85	$444.31