Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.73 / $3,987.00 / $7,113.89	Facility		$688.73	$3,987.00	$7,113.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.65 / $309.43 / $755.09	Professional		$123.65	$309.43	$755.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.86 / $413.09 / $1,335.45	Professional		$141.86	$413.09	$1,335.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $228.18 / $750.03 / $923.13	Professional		$228.18	$750.03	$923.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,178.88 / $3,564.48 / $8,541.95	Facility		$3,178.88	$3,564.48	$8,541.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.42 / $502.10 / $906.13	Professional		$104.42	$502.10	$906.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.02 / $552.52 / $1,305.50	Professional		$169.02	$552.52	$1,305.50