Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.87 / $4,163.00 / $9,284.00	Facility		$222.87	$4,163.00	$9,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.39 / $218.95 / $385.62	Professional		$192.39	$218.95	$385.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.58 / $318.38 / $691.60	Professional		$209.58	$318.38	$691.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $206.89 / $326.93 / $375.80	Professional		$206.89	$326.93	$375.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,520.85 / $3,747.41 / $6,905.69	Facility		$3,520.85	$3,747.41	$6,905.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.20 / $269.42 / $522.50	Professional		$197.20	$269.42	$522.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,879.00 / $5,864.00 / $10,105.00	Facility		$2,879.00	$5,864.00	$10,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.50 / $297.44 / $669.19	Professional		$195.50	$297.44	$669.19