Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.65 / $3,870.00 / $9,784.00	Facility		$172.65	$3,870.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.93 / $202.61 / $336.68	Professional		$121.93	$202.61	$336.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.56 / $258.98 / $590.75	Professional		$138.56	$258.98	$590.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $253.10 / $343.09 / $453.04	Professional		$253.10	$343.09	$453.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $809.75 / $971.34 / $2,106.33	Facility		$809.75	$971.34	$2,106.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.14 / $236.65 / $402.35	Professional		$125.14	$236.65	$402.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,401.00 / $3,336.00 / $10,536.00	Facility		$1,401.00	$3,336.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.02 / $244.33 / $551.07	Professional		$159.02	$244.33	$551.07