Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.53 / $5,695.00 / $10,202.00	Facility		$160.53	$5,695.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $184.74 / $317.77	Professional		$140.69	$184.74	$317.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.63 / $260.29 / $566.65	Professional		$165.63	$260.29	$566.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $202.99 / $301.04 / $375.14	Professional		$202.99	$301.04	$375.14
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,365.87 / $7,597.35 / $16,020.69	Facility		$6,365.87	$7,597.35	$16,020.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.72 / $228.29 / $435.63	Professional		$148.72	$228.29	$435.63
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 $172.89 / $263.02 / $638.51	Professional		$172.89	$263.02	$638.51