Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.21 / $4,118.00 / $9,842.00	Facility		$216.21	$4,118.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.95 / $230.50 / $383.10	Professional		$198.95	$230.50	$383.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.16 / $328.41 / $706.66	Professional		$231.16	$328.41	$706.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $223.58 / $327.05 / $406.80	Professional		$223.58	$327.05	$406.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,243.64 / $3,890.91 / $6,905.69	Facility		$3,243.64	$3,890.91	$6,905.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.20 / $276.05 / $577.96	Professional		$217.20	$276.05	$577.96
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 $202.54 / $297.14 / $714.90	Professional		$202.54	$297.14	$714.90