Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.31 / $3,870.00 / $9,383.00	Facility		$168.31	$3,870.00	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.28 / $190.79 / $302.70	Professional		$120.28	$190.79	$302.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.26 / $243.57 / $549.60	Professional		$131.26	$243.57	$549.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $236.12 / $320.07 / $422.99	Professional		$236.12	$320.07	$422.99
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,362.84 / $6,362.84 / $7,884.56	Facility		$6,362.84	$6,362.84	$7,884.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.56 / $221.12 / $380.77	Professional		$120.56	$221.12	$380.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $5,225.00 / $10,536.00	Facility		$3,204.00	$5,225.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.56 / $229.11 / $496.10	Professional		$140.56	$229.11	$496.10