Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.86 / $4,606.00 / $9,936.00	Facility		$184.86	$4,606.00	$9,936.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.65 / $186.55 / $296.68	Professional		$139.65	$186.55	$296.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $254.90 / $528.22	Professional		$144.22	$254.90	$528.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $257.80 / $338.94 / $417.18	Professional		$257.80	$338.94	$417.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,606.42 / $11,989.59 / $16,352.10	Facility		$11,606.42	$11,989.59	$16,352.10
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.43 / $243.44 / $390.39	Professional		$141.43	$243.44	$390.39
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 $118.83 / $230.37 / $489.57	Professional		$118.83	$230.37	$489.57