Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.44 / $5,956.00 / $10,692.00	Facility		$238.44	$5,956.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.45 / $201.37 / $327.52	Professional		$173.45	$201.37	$327.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.80 / $271.47 / $589.62	Professional		$149.80	$271.47	$589.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $206.21 / $300.58 / $368.46	Professional		$206.21	$300.58	$368.46
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,362.84 / $7,593.73 / $16,013.10	Facility		$6,362.84	$7,593.73	$16,013.10
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.15 / $222.64 / $394.38	Professional		$153.15	$222.64	$394.38
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 $137.49 / $210.03 / $427.73	Professional		$137.49	$210.03	$427.73