Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.77 / $3,979.00 / $9,784.00	Facility		$112.77	$3,979.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.77 / $135.86 / $250.98	Professional		$112.77	$135.86	$250.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.55 / $207.52 / $454.23	Professional		$126.55	$207.52	$454.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $221.03 / $289.91 / $355.58	Professional		$221.03	$289.91	$355.58
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,283.18 / $4,447.22 / $8,481.31	Facility		$4,283.18	$4,447.22	$8,481.31
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.22 / $174.99 / $270.89	Professional		$104.22	$174.99	$270.89
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 $143.87 / $224.27 / $362.82	Professional		$143.87	$224.27	$362.82