Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $6,456.54 / $11,748.98	Facility		$199.53	$6,456.54	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $107.15 / $204.17	Professional		$57.54	$107.15	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $138.04 / $398.11	Professional		$64.57	$138.04	$398.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $213.80	Professional		$102.33	$134.90	$213.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $2,570.40	Facility		$1,071.52	$1,621.81	$2,570.40
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $112.20 / $229.09	Professional		$46.77	$112.20	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,884.03 / $7,762.47	Facility		$1,380.38	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $91.20 / $194.98	Professional		$45.71	$91.20	$194.98