Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.73 / $5,244.00 / $9,950.00	Facility		$125.73	$5,244.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.33 / $125.91 / $225.36	Professional		$107.33	$125.91	$225.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.95 / $182.65 / $413.57	Professional		$127.95	$182.65	$413.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.97 / $197.14 / $253.63	Professional		$118.97	$197.14	$253.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,243.64 / $4,423.85 / $8,437.42	Facility		$3,243.64	$4,423.85	$8,437.42
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.38 / $150.71 / $335.83	Professional		$117.38	$150.71	$335.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.86 / $171.34 / $387.27	Professional		$114.86	$171.34	$387.27