Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.82 / $5,982.00 / $11,298.00	Facility		$303.82	$5,982.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.53 / $255.77 / $413.53	Professional		$221.53	$255.77	$413.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.52 / $345.73 / $689.27	Professional		$193.52	$345.73	$689.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $260.39 / $379.51 / $464.87	Professional		$260.39	$379.51	$464.87
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,362.84 / $6,572.89 / $13,993.66	Facility		$6,362.84	$6,572.89	$13,993.66
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.03 / $280.52 / $508.38	Professional		$194.03	$280.52	$508.38
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 $175.87 / $262.05 / $570.11	Professional		$175.87	$262.05	$570.11