Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.61 / $3,827.00 / $9,784.00	Facility		$187.61	$3,827.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.83 / $216.44 / $312.56	Professional		$139.83	$216.44	$312.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.59 / $269.27 / $589.48	Professional		$147.59	$269.27	$589.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $231.70 / $314.08 / $415.84	Professional		$231.70	$314.08	$415.84
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,572.89 / $7,134.65 / $7,884.56	Facility		$6,572.89	$7,134.65	$7,884.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.75 / $238.09 / $410.93	Professional		$133.75	$238.09	$410.93
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 $162.11 / $265.73 / $532.41	Professional		$162.11	$265.73	$532.41