Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.41 / $4,791.00 / $9,784.00	Facility		$133.41	$4,791.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.41 / $155.80 / $267.77	Professional		$133.41	$155.80	$267.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.63 / $249.05 / $556.30	Professional		$119.63	$249.05	$556.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.35 / $244.43 / $291.01	Professional		$181.35	$244.43	$291.01
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,383.38 / $3,842.35 / $8,514.79	Facility		$3,383.38	$3,842.35	$8,514.79
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.50 / $172.72 / $336.54	Professional		$123.50	$172.72	$336.54
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 $116.52 / $173.30 / $315.14	Professional		$116.52	$173.30	$315.14