Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.58 / $5,244.00 / $9,860.00	Facility		$242.58	$5,244.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $192.77 / $331.72	Professional		$162.38	$192.77	$331.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.82 / $305.33 / $665.58	Professional		$147.82	$305.33	$665.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $224.45 / $302.33 / $360.29	Professional		$224.45	$302.33	$360.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,111.16 / $8,215.01 / $10,191.46	Facility		$8,111.16	$8,215.01	$10,191.46
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.38 / $205.22 / $398.38	Professional		$153.38	$205.22	$398.38
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 $141.60 / $200.30 / $412.86	Professional		$141.60	$200.30	$412.86