Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.40 / $4,174.00 / $8,155.00	Facility		$248.40	$4,174.00	$8,155.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.19 / $248.40 / $337.26	Professional		$189.19	$248.40	$337.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.72 / $360.90 / $745.34	Professional		$202.72	$360.90	$745.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $294.36 / $386.99 / $475.74	Professional		$294.36	$386.99	$475.74
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,980.33 / $9,498.02 / $10,799.81	Facility		$4,980.33	$9,498.02	$10,799.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.41 / $272.75 / $444.92	Professional		$163.41	$272.75	$444.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,879.00 / $5,864.00 / $10,105.00	Facility		$2,879.00	$5,864.00	$10,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.98 / $258.39 / $576.88	Professional		$187.98	$258.39	$576.88