Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.33 / $3,384.00 / $9,784.00	Facility		$203.33	$3,384.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.83 / $221.43 / $395.41	Professional		$189.83	$221.43	$395.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.91 / $317.13 / $688.90	Professional		$215.91	$317.13	$688.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $320.02 / $396.47	Professional		$215.51	$320.02	$396.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $486.18 / $583.20 / $1,264.67	Facility		$486.18	$583.20	$1,264.67
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.40 / $269.31 / $538.44	Professional		$207.40	$269.31	$538.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.90 / $282.77 / $696.54	Professional		$189.90	$282.77	$696.54