Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.13 / $4,134.00 / $9,842.00	Facility		$162.13	$4,134.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.85 / $207.79 / $303.08	Professional		$145.85	$207.79	$303.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.46 / $288.72 / $636.87	Professional		$165.46	$288.72	$636.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $222.33 / $340.24 / $417.92	Professional		$222.33	$340.24	$417.92
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $538.26 / $1,231.39 / $1,400.13	Facility		$538.26	$1,231.39	$1,400.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.55 / $259.27 / $501.10	Professional		$152.55	$259.27	$501.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.05 / $297.60 / $715.22	Professional		$200.05	$297.60	$715.22