Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.73 / $4,830.00 / $9,784.00	Facility		$173.73	$4,830.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.35 / $173.73 / $244.33	Professional		$109.35	$173.73	$244.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.30 / $249.39 / $612.16	Professional		$127.30	$249.39	$612.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.19 / $327.01 / $401.35	Professional		$239.19	$327.01	$401.35
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,472.53 / $8,633.08 / $19,437.70	Facility		$7,472.53	$8,633.08	$19,437.70
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.84 / $207.38 / $356.67	Professional		$101.84	$207.38	$356.67
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.97 / $229.03 / $463.32	Professional		$161.97	$229.03	$463.32