Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.42 / $5,905.00 / $10,692.00	Facility		$171.42	$5,905.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.33 / $171.42 / $268.75	Professional		$107.33	$171.42	$268.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $319.83 / $800.52	Professional		$133.38	$319.83	$800.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $266.07 / $409.67 / $501.46	Professional		$266.07	$409.67	$501.46
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,424.29 / $8,966.36 / $20,188.08	Facility		$8,424.29	$8,966.36	$20,188.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.04 / $272.56 / $445.18	Professional		$119.04	$272.56	$445.18
United Facility/Professional Facility Modifier Low / Median / High Price $5,378.00 / $8,305.00 / $14,121.00	Facility		$5,378.00	$8,305.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.80 / $294.88 / $635.62	Professional		$147.80	$294.88	$635.62