Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.29 / $5,109.00 / $9,860.00	Facility		$213.29	$5,109.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.94 / $222.36 / $362.16	Professional		$196.94	$222.36	$362.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.94 / $334.28 / $688.63	Professional		$201.94	$334.28	$688.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $247.64 / $335.41 / $398.42	Professional		$247.64	$335.41	$398.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,506.66 / $4,980.33 / $10,799.81	Facility		$4,506.66	$4,980.33	$10,799.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.69 / $236.67 / $434.48	Professional		$175.69	$236.67	$434.48
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 $155.71 / $250.80 / $488.36	Professional		$155.71	$250.80	$488.36