Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.48 / $4,174.00 / $9,842.00	Facility		$650.48	$4,174.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.08 / $761.32 / $1,181.71	Professional		$630.08	$761.32	$1,181.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.31 / $1,076.20 / $2,349.42	Professional		$676.31	$1,076.20	$2,349.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.51 / $1,085.85 / $1,369.09	Professional		$794.51	$1,085.85	$1,369.09
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,300.49 / $4,094.55 / $6,868.01	Facility		$3,300.49	$4,094.55	$6,868.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $601.48 / $953.66 / $1,787.04	Professional		$601.48	$953.66	$1,787.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,844.00 / $7,579.00	Facility		$2,468.00	$4,844.00	$7,579.00
United Facility/Professional Professional Modifier Low / Median / High Price $569.29 / $1,059.32 / $2,518.23	Professional		$569.29	$1,059.32	$2,518.23