Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.09 / $4,370.00 / $8,084.00	Facility		$139.09	$4,370.00	$8,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.78 / $207.70 / $342.74	Professional		$97.78	$207.70	$342.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.50 / $255.84 / $589.10	Professional		$115.50	$255.84	$589.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $200.54 / $338.85 / $347.19	Professional		$200.54	$338.85	$347.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,362.84 / $7,593.73 / $13,993.66	Facility		$6,362.84	$7,593.73	$13,993.66
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.93 / $253.57 / $525.44	Professional		$113.93	$253.57	$525.44
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 $190.38 / $313.24 / $769.47	Professional		$190.38	$313.24	$769.47