Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.66 / $4,908.00 / $9,784.00	Facility		$184.66	$4,908.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.11 / $156.63 / $257.70	Professional		$145.11	$156.63	$257.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.45 / $228.33 / $459.83	Professional		$126.45	$228.33	$459.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.65 / $226.08 / $277.77	Professional		$154.65	$226.08	$277.77
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,226.74 / $4,611.96 / $5,243.67	Facility		$4,226.74	$4,611.96	$5,243.67
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.86 / $179.19 / $315.36	Professional		$124.86	$179.19	$315.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $5,225.00 / $10,536.00	Facility		$3,204.00	$5,225.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.27 / $164.75 / $362.81	Professional		$109.27	$164.75	$362.81