Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.96 / $3,827.00 / $9,784.00	Facility		$143.96	$3,827.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.54 / $145.19 / $209.26	Professional		$101.54	$145.19	$209.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.16 / $187.96 / $432.88	Professional		$104.16	$187.96	$432.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $153.46 / $208.02 / $275.49	Professional		$153.46	$208.02	$275.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,032.11 / $1,238.08 / $2,514.48	Facility		$1,032.11	$1,238.08	$2,514.48
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $170.53 / $279.92	Professional		$101.19	$170.53	$279.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,401.00 / $3,336.00 / $10,536.00	Facility		$1,401.00	$3,336.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.92 / $164.65 / $368.02	Professional		$107.92	$164.65	$368.02