Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.60 / $5,905.00 / $10,692.00	Facility		$210.60	$5,905.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.31 / $238.69 / $352.97	Professional		$109.31	$238.69	$352.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.82 / $286.30 / $741.60	Professional		$116.82	$286.30	$741.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $240.80 / $451.36 / $554.45	Professional		$240.80	$451.36	$554.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,468.46 / $3,601.29 / $6,868.01	Facility		$3,468.46	$3,601.29	$6,868.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.89 / $281.05 / $483.79	Professional		$100.89	$281.05	$483.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.64 / $331.23 / $689.93	Professional		$220.64	$331.23	$689.93