Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.87 / $4,118.00 / $9,784.00	Facility		$115.87	$4,118.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.87 / $184.08 / $332.42	Professional		$115.87	$184.08	$332.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.46 / $268.77 / $631.60	Professional		$121.46	$268.77	$631.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.13 / $325.32 / $400.05	Professional		$229.13	$325.32	$400.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,362.84 / $7,134.65 / $15,036.65	Facility		$6,362.84	$7,134.65	$15,036.65
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.25 / $212.16 / $361.36	Professional		$101.25	$212.16	$361.36
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 $133.10 / $239.47 / $616.10	Professional		$133.10	$239.47	$616.10