Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.99 / $4,294.00 / $8,419.00	Facility		$187.99	$4,294.00	$8,419.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.42 / $187.99 / $539.98	Professional		$111.42	$187.99	$539.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.90 / $213.06 / $409.58	Professional		$84.90	$213.06	$409.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $148.01 / $200.63 / $221.72	Professional		$148.01	$200.63	$221.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $782.90 / $1,103.02 / $2,103.73	Facility		$782.90	$1,103.02	$2,103.73
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.81 / $165.54 / $318.26	Professional		$96.81	$165.54	$318.26
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 $86.50 / $148.01 / $347.54	Professional		$86.50	$148.01	$347.54