Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.62 / $4,174.00 / $10,692.00	Facility		$176.62	$4,174.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.89 / $272.98 / $382.45	Professional		$166.89	$272.98	$382.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.53 / $376.65 / $831.60	Professional		$198.53	$376.65	$831.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $323.88 / $485.20 / $608.39	Professional		$323.88	$485.20	$608.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $521.05 / $621.87 / $1,400.13	Facility		$521.05	$621.87	$1,400.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.42 / $337.66 / $621.84	Professional		$185.42	$337.66	$621.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $3,339.00 / $9,152.00	Facility		$1,200.00	$3,339.00	$9,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.99 / $394.70 / $1,007.95	Professional		$224.99	$394.70	$1,007.95