Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.48 / $4,174.00 / $8,419.00	Facility		$254.48	$4,174.00	$8,419.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.48 / $331.69 / $495.81	Professional		$254.48	$331.69	$495.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.42 / $438.90 / $895.63	Professional		$259.42	$438.90	$895.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $374.53 / $507.69 / $672.33	Professional		$374.53	$507.69	$672.33
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,572.89 / $7,593.73 / $13,993.66	Facility		$6,572.89	$7,593.73	$13,993.66
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.05 / $389.82 / $650.11	Professional		$251.05	$389.82	$650.11
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 $250.08 / $417.47 / $883.52	Professional		$250.08	$417.47	$883.52