Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.35 / $4,990.00 / $9,959.31	Facility		$267.35	$4,990.00	$9,959.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.84 / $217.37 / $359.90	Professional		$189.84	$217.37	$359.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.93 / $298.14 / $632.66	Professional		$164.93	$298.14	$632.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $225.77 / $329.14 / $403.43	Professional		$225.77	$329.14	$403.43
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,572.89 / $7,884.56 / $8,964.50	Facility		$6,572.89	$7,884.56	$8,964.50
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.22 / $247.20 / $440.87	Professional		$168.22	$247.20	$440.87
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 $149.34 / $231.62 / $476.34	Professional		$149.34	$231.62	$476.34