Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.83 / $4,895.00 / $9,784.00	Facility		$240.83	$4,895.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.62 / $240.83 / $332.29	Professional		$133.62	$240.83	$332.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.06 / $341.14 / $778.33	Professional		$167.06	$341.14	$778.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $274.82 / $432.62 / $530.90	Professional		$274.82	$432.62	$530.90
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,192.54 / $7,441.00 / $9,091.45	Facility		$4,192.54	$7,441.00	$9,091.45
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.93 / $266.48 / $446.55	Professional		$116.93	$266.48	$446.55
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,523.00 / $9,152.00	Facility		$3,705.00	$5,523.00	$9,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.55 / $308.39 / $601.71	Professional		$210.55	$308.39	$601.71