Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.19 / $3,870.00 / $9,784.00	Facility		$116.19	$3,870.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $132.59 / $208.10	Professional		$82.31	$132.59	$208.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.15 / $173.98 / $418.52	Professional		$93.15	$173.98	$418.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $175.06 / $237.30 / $313.29	Professional		$175.06	$237.30	$313.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.82 / $3,939.13 / $8,000.16	Facility		$3,283.82	$3,939.13	$8,000.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $155.86 / $265.23	Professional		$81.37	$155.86	$265.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $3,823.00 / $10,536.00	Facility		$1,882.00	$3,823.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.09 / $176.02 / $384.98	Professional		$104.09	$176.02	$384.98