Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.25 / $4,294.00 / $9,860.00	Facility		$265.25	$4,294.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $265.25 / $361.06	Professional		$175.04	$265.25	$361.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.22 / $362.71 / $817.85	Professional		$188.22	$362.71	$817.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $396.70 / $518.21 / $631.73	Professional		$396.70	$518.21	$631.73
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,615.29 / $6,296.41 / $13,270.03	Facility		$5,615.29	$6,296.41	$13,270.03
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.88 / $328.43 / $502.98	Professional		$170.88	$328.43	$502.98
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.76 / $373.07 / $733.75	Professional		$249.76	$373.07	$733.75