Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.46 / $2,572.00 / $9,125.00	Facility		$139.46	$2,572.00	$9,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.46 / $195.97 / $302.67	Professional		$139.46	$195.97	$302.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $254.00 / $544.91	Professional		$149.97	$254.00	$544.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $230.74 / $312.77 / $412.98	Professional		$230.74	$312.77	$412.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,627.14 / $2,866.57 / $5,466.84	Facility		$2,627.14	$2,866.57	$5,466.84
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.05 / $230.51 / $378.74	Professional		$131.05	$230.51	$378.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $3,823.00 / $10,536.00	Facility		$1,882.00	$3,823.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.22 / $214.62 / $479.85	Professional		$151.22	$214.62	$479.85