Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.30 / $2,297.00 / $6,986.00	Facility		$186.30	$2,297.00	$6,986.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $126.85 / $404.09	Professional		$81.20	$126.85	$404.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $142.59 / $273.16	Professional		$80.84	$142.59	$273.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $162.82 / $220.71 / $251.20	Professional		$162.82	$220.71	$251.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,707.40 / $4,075.77 / $9,643.75	Facility		$3,707.40	$4,075.77	$9,643.75
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.71 / $156.08 / $236.05	Professional		$88.71	$156.08	$236.05
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 $88.85 / $153.99 / $320.70	Professional		$88.85	$153.99	$320.70