Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.83 / $4,516.00 / $9,784.00	Facility		$414.83	$4,516.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.75 / $455.63 / $781.28	Professional		$382.75	$455.63	$781.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.80 / $655.97 / $1,438.27	Professional		$440.80	$655.97	$1,438.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $456.37 / $685.95 / $820.34	Professional		$456.37	$685.95	$820.34
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.91 / $4,423.85 / $7,420.39	Facility		$3,890.91	$4,423.85	$7,420.39
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.84 / $563.48 / $1,153.09	Professional		$430.84	$563.48	$1,153.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $402.93 / $615.04 / $1,414.26	Professional		$402.93	$615.04	$1,414.26