Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.52 / $4,301.00 / $8,419.00	Facility		$311.52	$4,301.00	$8,419.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.20 / $246.39 / $420.71	Professional		$212.20	$246.39	$420.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.17 / $396.82 / $806.90	Professional		$189.17	$396.82	$806.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $285.06 / $383.82 / $457.77	Professional		$285.06	$383.82	$457.77
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,963.70 / $15,908.98 / $19,437.70	Facility		$8,963.70	$15,908.98	$19,437.70
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.83 / $277.58 / $450.26	Professional		$195.83	$277.58	$450.26
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 $179.87 / $270.55 / $527.12	Professional		$179.87	$270.55	$527.12