Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.54 / $3,374.00 / $9,784.00	Facility		$77.54	$3,374.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.63 / $132.72 / $191.16	Professional		$78.63	$132.72	$191.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $177.04 / $393.80	Professional		$92.16	$177.04	$393.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $204.19 / $251.07	Professional		$147.13	$204.19	$251.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,622.76 / $2,880.09 / $3,518.91	Facility		$1,622.76	$2,880.09	$3,518.91
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $130.51 / $224.49	Professional		$63.18	$130.51	$224.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.58 / $148.06 / $315.36	Professional		$99.58	$148.06	$315.36