Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.69 / $4,908.00 / $9,784.00	Facility		$188.69	$4,908.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.67 / $188.69 / $305.26	Professional		$103.67	$188.69	$305.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.55 / $284.44 / $665.45	Professional		$120.55	$284.44	$665.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $222.18 / $405.50 / $497.65	Professional		$222.18	$405.50	$497.65
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.08 / $4,037.90 / $8,514.79	Facility		$3,495.08	$4,037.90	$8,514.79
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.84 / $249.70 / $411.10	Professional		$93.84	$249.70	$411.10
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 $181.07 / $275.36 / $599.19	Professional		$181.07	$275.36	$599.19