Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.03 / $5,695.00 / $10,202.00	Facility		$212.03	$5,695.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.58 / $255.79 / $384.08	Professional		$171.58	$255.79	$384.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.05 / $368.54 / $830.09	Professional		$217.05	$368.54	$830.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $285.27 / $458.72 / $573.08	Professional		$285.27	$458.72	$573.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,576.03 / $7,597.35 / $17,105.68	Facility		$6,576.03	$7,597.35	$17,105.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.35 / $335.49 / $551.40	Professional		$188.35	$335.49	$551.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,567.00 / $7,263.00 / $10,536.00	Facility		$4,567.00	$7,263.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.47 / $447.53 / $907.06	Professional		$275.47	$447.53	$907.06