Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.34 / $3,059.00 / $8,155.00	Facility		$247.34	$3,059.00	$8,155.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.27 / $282.80 / $498.22	Professional		$192.27	$282.80	$498.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.48 / $395.00 / $793.75	Professional		$233.48	$395.00	$793.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $361.85 / $526.74 / $644.39	Professional		$361.85	$526.74	$644.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,110.41 / $6,667.30 / $11,833.25	Facility		$6,110.41	$6,667.30	$11,833.25
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.89 / $380.04 / $625.50	Professional		$280.89	$380.04	$625.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,340.00 / $5,579.00 / $10,105.00	Facility		$2,340.00	$5,579.00	$10,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.20 / $338.10 / $738.31	Professional		$186.20	$338.10	$738.31