Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.45 / $4,025.00 / $9,784.00	Facility		$115.45	$4,025.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.45 / $187.43 / $305.45	Professional		$115.45	$187.43	$305.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.79 / $258.12 / $580.61	Professional		$120.79	$258.12	$580.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $225.24 / $305.18 / $375.52	Professional		$225.24	$305.18	$375.52
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,178.88 / $3,793.84 / $8,000.16	Facility		$3,178.88	$3,793.84	$8,000.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.22 / $197.12 / $338.70	Professional		$100.22	$197.12	$338.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.34 / $203.11 / $465.77	Professional		$144.34	$203.11	$465.77