Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.07 / $3,827.00 / $9,784.00	Facility		$109.07	$3,827.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.98 / $185.05 / $301.88	Professional		$115.98	$185.05	$301.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.06 / $294.20 / $690.59	Professional		$138.06	$294.20	$690.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $252.17 / $330.89 / $406.42	Professional		$252.17	$330.89	$406.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,300.49 / $3,601.29 / $7,314.01	Facility		$3,300.49	$3,601.29	$7,314.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.09 / $219.42 / $374.94	Professional		$119.09	$219.42	$374.94
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 $164.73 / $223.03 / $464.73	Professional		$164.73	$223.03	$464.73