Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.07 / $4,174.00 / $9,784.00	Facility		$214.07	$4,174.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.03 / $275.64 / $423.71	Professional		$208.03	$275.64	$423.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.00 / $412.76 / $922.46	Professional		$191.00	$412.76	$922.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $312.62 / $411.37 / $506.98	Professional		$312.62	$411.37	$506.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,300.49 / $3,601.29 / $7,314.01	Facility		$3,300.49	$3,601.29	$7,314.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.30 / $302.66 / $496.65	Professional		$173.30	$302.66	$496.65
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 $188.84 / $318.58 / $695.13	Professional		$188.84	$318.58	$695.13