Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.22 / $3,870.00 / $9,784.00	Facility		$162.22	$3,870.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.69 / $210.68 / $347.17	Professional		$157.69	$210.68	$347.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.15 / $288.58 / $629.90	Professional		$162.15	$288.58	$629.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $268.13 / $351.78 / $431.38	Professional		$268.13	$351.78	$431.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,610.11 / $6,991.24 / $8,000.16	Facility		$3,610.11	$6,991.24	$8,000.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $237.00 / $381.11	Professional		$137.47	$237.00	$381.11
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 $166.60 / $266.44 / $774.71	Professional		$166.60	$266.44	$774.71