Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.99 / $2,937.00 / $8,084.00	Facility		$172.99	$2,937.00	$8,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.13 / $229.64 / $418.89	Professional		$150.13	$229.64	$418.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.60 / $318.13 / $691.48	Professional		$170.60	$318.13	$691.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $326.83 / $443.03 / $581.61	Professional		$326.83	$443.03	$581.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,558.14 / $6,667.30 / $12,715.20	Facility		$5,558.14	$6,667.30	$12,715.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.26 / $292.68 / $490.25	Professional		$156.26	$292.68	$490.25
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 $192.48 / $304.24 / $713.78	Professional		$192.48	$304.24	$713.78