Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.30 / $4,667.00 / $10,202.00	Facility		$185.30	$4,667.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.07 / $160.34 / $251.53	Professional		$121.07	$160.34	$251.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.88 / $241.62 / $476.86	Professional		$140.88	$241.62	$476.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $170.55 / $233.17 / $275.77	Professional		$170.55	$233.17	$275.77
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,151.83 / $4,980.33 / $10,799.81	Facility		$4,151.83	$4,980.33	$10,799.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.98 / $164.66 / $297.50	Professional		$121.98	$164.66	$297.50
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 $109.44 / $160.81 / $340.37	Professional		$109.44	$160.81	$340.37