Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.89 / $3,059.00 / $7,684.00	Facility		$115.89	$3,059.00	$7,684.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.96 / $389.21 / $801.78	Professional		$87.96	$389.21	$801.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.78 / $250.52 / $1,186.97	Professional		$90.78	$250.52	$1,186.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $712.70 / $966.11 / $1,370.25	Professional		$712.70	$966.11	$1,370.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,216.23 / $3,652.53 / $7,600.61	Facility		$3,216.23	$3,652.53	$7,600.61
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.99 / $626.22 / $1,089.25	Professional		$88.99	$626.22	$1,089.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,225.00 / $10,536.00	Facility		$3,705.00	$5,225.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $538.29 / $790.46 / $1,680.35	Professional		$538.29	$790.46	$1,680.35