Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $4,265.80 / $9,772.37	Facility		$208.93	$4,265.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $489.78	Professional		$151.36	$199.53	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $257.04 / $630.96	Professional		$165.96	$257.04	$630.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $363.08	Professional		$204.17	$275.42	$363.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $3,162.28	Facility		$1,258.93	$1,995.26	$3,162.28
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $436.52	Professional		$128.82	$208.93	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,630.78 / $7,762.47	Facility		$1,862.09	$3,630.78	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $346.74	Professional		$123.03	$173.78	$346.74