Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.47 / $4,118.00 / $9,842.00	Facility		$141.47	$4,118.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.07 / $150.12 / $257.08	Professional		$133.07	$150.12	$257.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.87 / $235.21 / $449.21	Professional		$145.87	$235.21	$449.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.40 / $288.48 / $338.36	Professional		$210.40	$288.48	$338.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,238.19 / $6,994.86 / $14,742.01	Facility		$6,238.19	$6,994.86	$14,742.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.17 / $181.17 / $281.73	Professional		$122.17	$181.17	$281.73
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 $156.01 / $229.13 / $380.99	Professional		$156.01	$229.13	$380.99