Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.43 / $6,515.00 / $11,298.00	Facility		$210.43	$6,515.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.47 / $190.07 / $210.43	Professional		$162.47	$190.07	$210.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.74 / $271.62 / $605.64	Professional		$168.74	$271.62	$605.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $250.27 / $272.60 / $303.36	Professional		$250.27	$272.60	$303.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,773.37 / $16,773.37 / $20,120.57	Facility		$16,773.37	$16,773.37	$20,120.57
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.13 / $172.36 / $339.56	Professional		$136.13	$172.36	$339.56
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $10,536.00 / $23,291.00	Facility		$5,682.00	$10,536.00	$23,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.31 / $203.65 / $496.24	Professional		$150.31	$203.65	$496.24