Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.60 / $3,209.97 / $8,419.00	Facility		$151.60	$3,209.97	$8,419.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.60 / $208.89 / $355.21	Professional		$151.60	$208.89	$355.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.27 / $265.36 / $562.65	Professional		$158.27	$265.36	$562.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $243.59 / $355.06 / $468.24	Professional		$243.59	$355.06	$468.24
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,572.89 / $7,884.56 / $16,013.10	Facility		$6,572.89	$7,884.56	$16,013.10
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.08 / $243.21 / $402.43	Professional		$149.08	$243.21	$402.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $7,188.00 / $10,536.00	Facility		$3,885.00	$7,188.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.59 / $256.14 / $550.08	Professional		$165.59	$256.14	$550.08