Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.14 / $3,870.00 / $9,784.00	Facility		$215.14	$3,870.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.41 / $222.55 / $394.04	Professional		$159.41	$222.55	$394.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.41 / $316.57 / $704.30	Professional		$165.41	$316.57	$704.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $314.69 / $459.11 / $604.91	Professional		$314.69	$459.11	$604.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,906.24 / $2,906.24 / $4,094.55	Facility		$2,906.24	$2,906.24	$4,094.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.64 / $301.61 / $502.45	Professional		$169.64	$301.61	$502.45
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 $159.97 / $305.54 / $671.91	Professional		$159.97	$305.54	$671.91