Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.36 / $4,606.00 / $9,950.00	Facility		$195.36	$4,606.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.94 / $155.47 / $264.11	Professional		$128.94	$155.47	$264.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.83 / $245.64 / $641.39	Professional		$118.83	$245.64	$641.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $180.61 / $243.38 / $289.77	Professional		$180.61	$243.38	$289.77
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $761.86 / $865.20 / $1,917.35	Facility		$761.86	$865.20	$1,917.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.93 / $164.39 / $284.38	Professional		$122.93	$164.39	$284.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.59 / $160.24 / $313.68	Professional		$115.59	$160.24	$313.68