Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.75 / $3,827.00 / $9,383.00	Facility		$135.75	$3,827.00	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $135.75 / $235.58	Professional		$99.89	$135.75	$235.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.41 / $181.52 / $424.91	Professional		$104.41	$181.52	$424.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $150.63 / $206.59 / $270.45	Professional		$150.63	$206.59	$270.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,258.77 / $6,391.63 / $7,809.33	Facility		$3,258.77	$6,391.63	$7,809.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $158.02 / $259.60	Professional		$99.41	$158.02	$259.60
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 $105.17 / $166.34 / $358.06	Professional		$105.17	$166.34	$358.06