Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.18 / $3,536.06 / $7,113.89	Facility		$74.18	$3,536.06	$7,113.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.74 / $197.33 / $302.73	Professional		$53.74	$197.33	$302.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.91 / $175.64 / $568.71	Professional		$60.91	$175.64	$568.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.30 / $332.57 / $345.04	Professional		$210.30	$332.57	$345.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,564.48 / $4,478.67 / $8,541.95	Facility		$3,564.48	$4,478.67	$8,541.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $234.95 / $469.19	Professional		$50.84	$234.95	$469.19
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 $177.51 / $298.58 / $729.91	Professional		$177.51	$298.58	$729.91