Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.15 / $5,982.00 / $10,871.00	Facility		$203.15	$5,982.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.40 / $190.43 / $315.50	Professional		$166.40	$190.43	$315.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.75 / $277.14 / $570.01	Professional		$179.75	$277.14	$570.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.31 / $268.31 / $275.38	Professional		$158.31	$268.31	$275.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,365.87 / $6,365.87 / $16,020.69	Facility		$6,365.87	$6,365.87	$16,020.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.25 / $206.69 / $429.40	Professional		$137.25	$206.69	$429.40
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 $150.62 / $240.00 / $495.26	Professional		$150.62	$240.00	$495.26