Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,715.00 / $5,192.00 / $10,692.00	Facility		$1,715.00	$5,192.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $65.28	Professional		$51.00	$51.00	$65.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.54 / $635.66 / $765.35	Professional		$530.54	$635.66	$765.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $185.34 / $185.34 / $185.34	Professional		$185.34	$185.34	$185.34
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $890.20 / $935.50 / $971.34	Facility		$890.20	$935.50	$971.34
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.10 / $121.64 / $261.10	Professional		$98.10	$121.64	$261.10
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