Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.96 / $2,572.00 / $8,136.03	Facility		$135.96	$2,572.00	$8,136.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.96 / $222.49 / $355.50	Professional		$135.96	$222.49	$355.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.36 / $273.26 / $620.57	Professional		$149.36	$273.26	$620.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $267.83 / $363.06 / $479.55	Professional		$267.83	$363.06	$479.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,258.77 / $3,601.29 / $7,314.01	Facility		$3,258.77	$3,601.29	$7,314.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.16 / $254.85 / $432.79	Professional		$126.16	$254.85	$432.79
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 $162.07 / $282.14 / $621.51	Professional		$162.07	$282.14	$621.51