Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.90 / $2,626.00 / $9,125.00	Facility		$118.90	$2,626.00	$9,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.90 / $155.13 / $288.97	Professional		$118.90	$155.13	$288.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.53 / $216.19 / $485.05	Professional		$123.53	$216.19	$485.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.89 / $311.64 / $411.13	Professional		$213.89	$311.64	$411.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $782.90 / $808.75 / $1,970.30	Facility		$782.90	$808.75	$1,970.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.49 / $199.92 / $339.53	Professional		$113.49	$199.92	$339.53
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 $132.12 / $207.36 / $446.64	Professional		$132.12	$207.36	$446.64