Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.31 / $3,374.00 / $9,284.00	Facility		$151.31	$3,374.00	$9,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.31 / $211.72 / $329.63	Professional		$151.31	$211.72	$329.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.82 / $275.97 / $590.52	Professional		$162.82	$275.97	$590.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $242.92 / $329.29 / $435.23	Professional		$242.92	$329.29	$435.23
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,134.65 / $7,593.73 / $7,884.56	Facility		$7,134.65	$7,593.73	$7,884.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $247.53 / $405.45	Professional		$150.47	$247.53	$405.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $4,700.00 / $8,540.00	Facility		$1,533.00	$4,700.00	$8,540.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.04 / $242.95 / $537.20	Professional		$159.04	$242.95	$537.20