Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.00 / $4,468.00 / $8,528.21	Facility		$258.00	$4,468.00	$8,528.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.36 / $283.54 / $759.27	Professional		$190.36	$283.54	$759.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.03 / $310.66 / $626.80	Professional		$145.03	$310.66	$626.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $356.83 / $483.71 / $540.13	Professional		$356.83	$483.71	$540.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,588.91 / $4,075.77 / $7,893.03	Facility		$3,588.91	$4,075.77	$7,893.03
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.96 / $361.36 / $534.08	Professional		$208.96	$361.36	$534.08
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 $199.99 / $378.06 / $679.02	Professional		$199.99	$378.06	$679.02