Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.44 / $4,516.00 / $9,950.00	Facility		$290.44	$4,516.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $379.56 / $649.91	Professional		$254.00	$379.56	$649.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.83 / $487.03 / $1,035.50	Professional		$278.83	$487.03	$1,035.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $376.10 / $555.66 / $672.00	Professional		$376.10	$555.66	$672.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,565.92 / $4,423.85 / $7,902.25	Facility		$3,565.92	$4,423.85	$7,902.25
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.16 / $455.92 / $879.03	Professional		$255.16	$455.92	$879.03
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.47 / $526.35 / $1,243.47	Professional		$350.47	$526.35	$1,243.47