Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.99 / $3,621.20 / $6,489.00	Facility		$144.99	$3,621.20	$6,489.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.22 / $122.14 / $162.51	Professional		$83.22	$122.14	$162.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.58 / $165.55 / $376.52	Professional		$98.58	$165.55	$376.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $156.43 / $200.71 / $237.83	Professional		$156.43	$200.71	$237.83
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.43 / $1,567.69 / $3,709.35	Facility		$1,380.43	$1,567.69	$3,709.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $129.90 / $223.15	Professional		$77.34	$129.90	$223.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.33 / $156.75 / $366.92	Professional		$101.33	$156.75	$366.92