Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.95 / $5,017.00 / $8,756.00	Facility		$241.95	$5,017.00	$8,756.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.42 / $281.07 / $477.95	Professional		$188.42	$281.07	$477.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.01 / $375.73 / $844.20	Professional		$204.01	$375.73	$844.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $364.54 / $530.10 / $650.66	Professional		$364.54	$530.10	$650.66
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,766.81 / $7,684.77 / $18,183.06	Facility		$6,766.81	$7,684.77	$18,183.06
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.72 / $336.87 / $524.41	Professional		$158.72	$336.87	$524.41
United Facility/Professional Facility Modifier Low / Median / High Price $5,378.00 / $8,305.00 / $14,121.00	Facility		$5,378.00	$8,305.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $238.70 / $350.35 / $795.97	Professional		$238.70	$350.35	$795.97