Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.09 / $4,294.00 / $9,784.00	Facility		$249.09	$4,294.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.99 / $264.11 / $435.85	Professional		$180.99	$264.11	$435.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.60 / $414.00 / $901.95	Professional		$200.60	$414.00	$901.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $376.54 / $491.16 / $596.79	Professional		$376.54	$491.16	$596.79
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,512.98 / $8,966.36 / $20,188.08	Facility		$7,512.98	$8,966.36	$20,188.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.28 / $331.34 / $570.10	Professional		$183.28	$331.34	$570.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.82 / $312.54 / $706.71	Professional		$184.82	$312.54	$706.71