Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.54 / $4,294.00 / $9,860.00	Facility		$141.54	$4,294.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.54 / $186.24 / $281.22	Professional		$141.54	$186.24	$281.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.16 / $271.99 / $591.67	Professional		$161.16	$271.99	$591.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $222.14 / $298.80 / $354.69	Professional		$222.14	$298.80	$354.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,796.64 / $8,839.21 / $10,114.81	Facility		$4,796.64	$8,839.21	$10,114.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.10 / $202.71 / $325.82	Professional		$136.10	$202.71	$325.82
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 $142.55 / $194.16 / $428.37	Professional		$142.55	$194.16	$428.37