Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.25 / $4,791.00 / $9,784.00	Facility		$182.25	$4,791.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.22 / $182.25 / $268.08	Professional		$118.22	$182.25	$268.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.68 / $265.44 / $620.36	Professional		$133.68	$265.44	$620.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $221.94 / $296.95 / $364.68	Professional		$221.94	$296.95	$364.68
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $944.05 / $1,800.43 / $1,917.35	Facility		$944.05	$1,800.43	$1,917.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $189.03 / $325.10	Professional		$94.78	$189.03	$325.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.24 / $214.42 / $589.71	Professional		$147.24	$214.42	$589.71