Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.68 / $6,064.00 / $10,871.00	Facility		$170.68	$6,064.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.22 / $152.66 / $170.68	Professional		$131.22	$152.66	$170.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.49 / $223.35 / $509.67	Professional		$112.49	$223.35	$509.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $201.85 / $221.77 / $246.80	Professional		$201.85	$221.77	$246.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,142.33 / $14,942.46 / $28,499.03	Facility		$13,142.33	$14,942.46	$28,499.03
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.83 / $136.46 / $262.86	Professional		$107.83	$136.46	$262.86
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 $120.05 / $170.42 / $390.51	Professional		$120.05	$170.42	$390.51