Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.71 / $4,516.00 / $9,950.00	Facility		$111.71	$4,516.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.52 / $125.02 / $146.13	Professional		$110.52	$125.02	$146.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.48 / $173.83 / $397.75	Professional		$96.48	$173.83	$397.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $253.48 / $380.21 / $492.87	Professional		$253.48	$380.21	$492.87
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,601.29 / $4,094.55 / $7,809.33	Facility		$3,601.29	$4,094.55	$7,809.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.01 / $143.34 / $256.77	Professional		$98.01	$143.34	$256.77
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 $80.37 / $134.90 / $268.68	Professional		$80.37	$134.90	$268.68