Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.85 / $4,294.00 / $9,860.00	Facility		$173.85	$4,294.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.85 / $210.76 / $357.61	Professional		$173.85	$210.76	$357.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.30 / $288.01 / $611.71	Professional		$173.30	$288.01	$611.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $332.51 / $401.92	Professional		$230.00	$332.51	$401.92
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,031.42 / $2,216.56 / $4,227.18	Facility		$2,031.42	$2,216.56	$4,227.18
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.63 / $245.94 / $420.57	Professional		$174.63	$245.94	$420.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $3,823.00 / $10,536.00	Facility		$1,882.00	$3,823.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.57 / $221.59 / $458.99	Professional		$131.57	$221.59	$458.99