Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.23 / $4,294.00 / $9,284.00	Facility		$178.23	$4,294.00	$9,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.68 / $189.97 / $304.33	Professional		$125.68	$189.97	$304.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.15 / $244.03 / $534.87	Professional		$133.15	$244.03	$534.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $224.98 / $304.98 / $403.24	Professional		$224.98	$304.98	$403.24
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,134.65 / $7,593.73 / $7,884.56	Facility		$7,134.65	$7,593.73	$7,884.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.87 / $217.18 / $372.41	Professional		$125.87	$217.18	$372.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $5,265.00 / $10,536.00	Facility		$3,204.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.52 / $225.60 / $492.21	Professional		$140.52	$225.60	$492.21