Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.84 / $4,294.00 / $9,860.00	Facility		$204.84	$4,294.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.84 / $260.97 / $466.31	Professional		$204.84	$260.97	$466.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.77 / $340.29 / $682.37	Professional		$196.77	$340.29	$682.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $427.53 / $519.21	Professional		$295.08	$427.53	$519.21
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,110.41 / $6,667.30 / $7,580.52	Facility		$6,110.41	$6,667.30	$7,580.52
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.67 / $299.45 / $495.08	Professional		$222.67	$299.45	$495.08
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 $163.72 / $269.77 / $585.27	Professional		$163.72	$269.77	$585.27