Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.18 / $3,987.00 / $9,383.00	Facility		$128.18	$3,987.00	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.91 / $175.92 / $255.30	Professional		$123.91	$175.92	$255.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.72 / $256.74 / $525.05	Professional		$134.72	$256.74	$525.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $226.27 / $297.32 / $365.49	Professional		$226.27	$297.32	$365.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,588.91 / $3,707.40 / $9,643.75	Facility		$3,588.91	$3,707.40	$9,643.75
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.05 / $187.78 / $313.51	Professional		$107.05	$187.78	$313.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,888.00 / $4,844.00 / $8,540.00	Facility		$1,888.00	$4,844.00	$8,540.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.61 / $213.04 / $438.17	Professional		$136.61	$213.04	$438.17