Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $3,264.54 / $8,419.00	Facility		$126.00	$3,264.54	$8,419.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.71 / $135.28 / $213.27	Professional		$96.71	$135.28	$213.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.67 / $198.12 / $405.65	Professional		$111.67	$198.12	$405.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.86 / $223.60 / $275.54	Professional		$169.86	$223.60	$275.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,684.51 / $3,326.52 / $6,755.95	Facility		$2,684.51	$3,326.52	$6,755.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.63 / $143.47 / $241.31	Professional		$82.63	$143.47	$241.31
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 $101.23 / $162.38 / $337.49	Professional		$101.23	$162.38	$337.49