Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.83 / $4,025.00 / $9,784.00	Facility		$143.83	$4,025.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $186.12 / $283.48	Professional		$107.00	$186.12	$283.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.36 / $214.02 / $499.24	Professional		$118.36	$214.02	$499.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $223.28 / $325.55 / $429.20	Professional		$223.28	$325.55	$429.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,884.56 / $7,884.56 / $17,097.55	Facility		$7,884.56	$7,884.56	$17,097.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.95 / $199.18 / $346.21	Professional		$105.95	$199.18	$346.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $5,265.00 / $10,536.00	Facility		$3,204.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.05 / $200.29 / $452.94	Professional		$138.05	$200.29	$452.94