Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.82 / $3,870.00 / $9,784.00	Facility		$219.82	$3,870.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.37 / $219.82 / $336.60	Professional		$168.37	$219.82	$336.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.86 / $291.54 / $613.11	Professional		$173.86	$291.54	$613.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $264.04 / $357.92 / $471.91	Professional		$264.04	$357.92	$471.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,120.33 / $1,407.66 / $2,514.48	Facility		$1,120.33	$1,407.66	$2,514.48
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.33 / $267.16 / $433.11	Professional		$169.33	$267.16	$433.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,401.00 / $3,336.00 / $10,536.00	Facility		$1,401.00	$3,336.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.25 / $261.52 / $579.66	Professional		$174.25	$261.52	$579.66