Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.62 / $5,486.00 / $9,950.00	Facility		$201.62	$5,486.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.93 / $143.86 / $310.60	Professional		$132.93	$143.86	$310.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.90 / $227.31 / $426.88	Professional		$118.90	$227.31	$426.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $162.07 / $219.70 / $232.35	Professional		$162.07	$219.70	$232.35
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.95 / $971.34 / $1,852.45	Facility		$878.95	$971.34	$1,852.45
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.26 / $337.96	Professional		$123.03	$173.26	$337.96
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 $82.18 / $154.46 / $323.82	Professional		$82.18	$154.46	$323.82