Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.55 / $4,294.00 / $9,860.00	Facility		$204.55	$4,294.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.44 / $671.59 / $1,043.32	Professional		$159.44	$671.59	$1,043.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.05 / $737.73 / $2,153.12	Professional		$180.05	$737.73	$2,153.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $296.17 / $1,098.55 / $1,350.46	Professional		$296.17	$1,098.55	$1,350.46
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,151.83 / $4,564.34 / $9,498.02	Facility		$4,151.83	$4,564.34	$9,498.02
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.55 / $685.52 / $1,287.16	Professional		$131.55	$685.52	$1,287.16
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $562.71 / $811.68 / $1,782.84	Professional		$562.71	$811.68	$1,782.84