Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.91 / $4,294.00 / $9,860.00	Facility		$162.91	$4,294.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.91 / $192.01 / $508.45	Professional		$162.91	$192.01	$508.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.61 / $285.45 / $711.93	Professional		$159.61	$285.45	$711.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $550.94 / $746.84 / $978.62	Professional		$550.94	$746.84	$978.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,844.73 / $4,611.96 / $8,795.46	Facility		$3,844.73	$4,611.96	$8,795.46
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.87 / $223.62 / $409.45	Professional		$153.87	$223.62	$409.45
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 $129.87 / $268.00 / $449.59	Professional		$129.87	$268.00	$449.59