Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.03 / $4,118.00 / $9,284.00	Facility		$127.03	$4,118.00	$9,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.36 / $138.69 / $299.56	Professional		$84.36	$138.69	$299.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.24 / $165.48 / $309.79	Professional		$86.24	$165.48	$309.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $185.83 / $251.91 / $279.33	Professional		$185.83	$251.91	$279.33
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $935.50 / $971.34 / $2,106.33	Facility		$935.50	$971.34	$2,106.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.94 / $178.32 / $286.11	Professional		$88.94	$178.32	$286.11
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 $93.24 / $161.16 / $355.28	Professional		$93.24	$161.16	$355.28