Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.71 / $4,830.00 / $9,784.00	Facility		$175.71	$4,830.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $175.71 / $243.88	Professional		$108.53	$175.71	$243.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.59 / $256.54 / $625.04	Professional		$124.59	$256.54	$625.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $240.84 / $316.14 / $387.98	Professional		$240.84	$316.14	$387.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $393.47 / $471.99 / $958.58	Facility		$393.47	$471.99	$958.58
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $208.51 / $358.87	Professional		$104.89	$208.51	$358.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $3,339.00 / $9,152.00	Facility		$1,200.00	$3,339.00	$9,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $224.86 / $441.63	Professional		$156.47	$224.86	$441.63