Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.13 / $4,294.00 / $9,860.00	Facility		$155.13	$4,294.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $182.54 / $301.39	Professional		$103.90	$182.54	$301.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.11 / $286.80 / $675.98	Professional		$122.11	$286.80	$675.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.81 / $401.22 / $492.75	Professional		$229.81	$401.22	$492.75
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,032.11 / $1,120.33 / $1,238.08	Facility		$1,032.11	$1,120.33	$1,238.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.20 / $233.61 / $393.08	Professional		$96.20	$233.61	$393.08
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 $177.11 / $248.24 / $543.15	Professional		$177.11	$248.24	$543.15