Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.52 / $3,827.00 / $9,784.00	Facility		$220.52	$3,827.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.34 / $227.65 / $342.74	Professional		$163.34	$227.65	$342.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.36 / $297.55 / $634.95	Professional		$173.36	$297.55	$634.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $269.95 / $365.93 / $482.79	Professional		$269.95	$365.93	$482.79
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,134.68 / $1,238.08 / $2,361.16	Facility		$1,134.68	$1,238.08	$2,361.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.47 / $271.58 / $444.34	Professional		$161.47	$271.58	$444.34
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 $171.47 / $269.02 / $571.29	Professional		$171.47	$269.02	$571.29