Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.96 / $4,540.00 / $9,784.00	Facility		$146.96	$4,540.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $177.48 / $271.37	Professional		$142.94	$177.48	$271.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.36 / $251.76 / $540.97	Professional		$162.36	$251.76	$540.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $192.32 / $285.48 / $358.31	Professional		$192.32	$285.48	$358.31
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,120.33 / $1,238.08 / $2,361.16	Facility		$1,120.33	$1,238.08	$2,361.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.51 / $228.13 / $428.28	Professional		$144.51	$228.13	$428.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.13 / $252.05 / $613.12	Professional		$171.13	$252.05	$613.12