Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.88 / $4,025.00 / $8,155.00	Facility		$167.88	$4,025.00	$8,155.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.27 / $212.06 / $350.05	Professional		$119.27	$212.06	$350.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.47 / $270.47 / $634.19	Professional		$132.47	$270.47	$634.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $276.57 / $374.91 / $494.53	Professional		$276.57	$374.91	$494.53
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,707.40 / $4,447.22 / $8,481.31	Facility		$3,707.40	$4,447.22	$8,481.31
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.30 / $253.94 / $430.11	Professional		$122.30	$253.94	$430.11
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 $168.10 / $272.11 / $578.76	Professional		$168.10	$272.11	$578.76