Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,888.44 / $11,748.98	Facility		$2,691.53	$5,888.44	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $588.84	Professional		$147.91	$234.42	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $660.69	Professional		$162.18	$288.40	$660.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $426.58	Professional		$229.09	$309.03	$426.58
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,290.87 / $3,548.13	Facility		$1,412.54	$2,290.87	$3,548.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $269.15 / $707.95	Professional		$131.83	$269.15	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,630.78 / $7,762.47	Facility		$1,862.09	$3,630.78	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $537.03	Professional		$131.83	$223.87	$537.03