Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.08 / $5,956.00 / $10,871.00	Facility		$443.08	$5,956.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.91 / $443.08 / $755.64	Professional		$379.91	$443.08	$755.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.52 / $632.98 / $1,325.74	Professional		$433.52	$632.98	$1,325.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.30 / $671.86 / $720.34	Professional		$407.30	$671.86	$720.34
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,243.64 / $3,890.91 / $7,902.25	Facility		$3,243.64	$3,890.91	$7,902.25
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.76 / $534.11 / $1,149.54	Professional		$401.76	$534.11	$1,149.54
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 $358.09 / $533.65 / $1,286.75	Professional		$358.09	$533.65	$1,286.75