Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.66 / $4,174.00 / $9,860.00	Facility		$147.66	$4,174.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.66 / $177.92 / $300.17	Professional		$147.66	$177.92	$300.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.06 / $245.11 / $530.00	Professional		$147.06	$245.11	$530.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $196.29 / $283.77 / $343.12	Professional		$196.29	$283.77	$343.12
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,380.51 / $5,380.51 / $13,540.90	Facility		$5,380.51	$5,380.51	$13,540.90
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.50 / $206.01 / $338.07	Professional		$146.50	$206.01	$338.07
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 $115.70 / $185.50 / $389.26	Professional		$115.70	$185.50	$389.26