Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.13 / $4,294.00 / $10,871.00	Facility		$146.13	$4,294.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $182.29 / $254.06	Professional		$116.13	$182.29	$254.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.32 / $263.35 / $630.62	Professional		$122.32	$263.35	$630.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $221.92 / $299.33 / $367.78	Professional		$221.92	$299.33	$367.78
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.01 / $2,279.40 / $4,347.04	Facility		$2,089.01	$2,279.40	$4,347.04
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.81 / $198.41 / $339.67	Professional		$96.81	$198.41	$339.67
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 $135.01 / $201.63 / $483.87	Professional		$135.01	$201.63	$483.87