Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.88 / $3,827.00 / $9,784.00	Facility		$140.88	$3,827.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.69 / $143.25 / $222.97	Professional		$97.69	$143.25	$222.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.56 / $187.84 / $406.45	Professional		$107.56	$187.84	$406.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $201.43 / $265.25 / $326.64	Professional		$201.43	$265.25	$326.64
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,238.08 / $1,407.66 / $2,684.77	Facility		$1,238.08	$1,407.66	$2,684.77
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.22 / $177.41 / $308.26	Professional		$100.22	$177.41	$308.26
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 $113.13 / $183.34 / $396.36	Professional		$113.13	$183.34	$396.36