Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.83 / $4,174.00 / $9,383.00	Facility		$159.83	$4,174.00	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.86 / $265.10 / $471.09	Professional		$146.86	$265.10	$471.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.53 / $324.69 / $717.82	Professional		$168.53	$324.69	$717.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $473.55 / $483.66	Professional		$281.33	$473.55	$483.66
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,178.88 / $3,610.11 / $7,512.32	Facility		$3,178.88	$3,610.11	$7,512.32
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.62 / $292.08 / $589.42	Professional		$150.62	$292.08	$589.42
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 $248.83 / $412.24 / $839.59	Professional		$248.83	$412.24	$839.59