Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.33 / $5,695.00 / $10,202.00	Facility		$198.33	$5,695.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.63 / $302.88 / $390.10	Professional		$169.63	$302.88	$390.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $379.10 / $810.20	Professional		$189.00	$379.10	$810.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $384.14 / $510.08 / $604.95	Professional		$384.14	$510.08	$604.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,715.96 / $17,367.83 / $37,661.98	Facility		$15,715.96	$17,367.83	$37,661.98
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $342.21 / $711.80	Professional		$161.50	$342.21	$711.80
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 $290.45 / $448.43 / $1,006.93	Professional		$290.45	$448.43	$1,006.93