Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.08 / $4,468.00 / $9,284.00	Facility		$221.08	$4,468.00	$9,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.33 / $686.79 / $941.66	Professional		$183.33	$686.79	$941.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.93 / $576.19 / $1,882.40	Professional		$192.93	$576.19	$1,882.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $332.33 / $1,190.70 / $1,370.97	Professional		$332.33	$1,190.70	$1,370.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,652.20 / $13,581.28 / $16,593.68	Facility		$7,652.20	$13,581.28	$16,593.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.79 / $744.11 / $1,255.49	Professional		$149.79	$744.11	$1,255.49
United Facility/Professional Facility Modifier Low / Median / High Price $5,378.00 / $8,305.00 / $14,121.00	Facility		$5,378.00	$8,305.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $702.79 / $906.61 / $2,359.61	Professional		$702.79	$906.61	$2,359.61