Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.62 / $5,458.00 / $9,950.00	Facility		$332.62	$5,458.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.62 / $276.49 / $448.75	Professional		$233.62	$276.49	$448.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.75 / $413.31 / $849.84	Professional		$249.75	$413.31	$849.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $302.50 / $411.63 / $489.11	Professional		$302.50	$411.63	$489.11
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,990.20 / $8,075.85 / $9,533.65	Facility		$6,990.20	$8,075.85	$9,533.65
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.23 / $283.81 / $505.07	Professional		$217.23	$283.81	$505.07
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 $191.09 / $310.45 / $588.28	Professional		$191.09	$310.45	$588.28