Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.02 / $4,174.00 / $9,860.00	Facility		$143.02	$4,174.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.80 / $146.41 / $228.56	Professional		$103.80	$146.41	$228.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.30 / $203.60 / $427.89	Professional		$117.30	$203.60	$427.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.73 / $255.07 / $311.80	Professional		$194.73	$255.07	$311.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $739.55 / $739.55 / $739.55	Facility		$739.55	$739.55	$739.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $160.54 / $271.76	Professional		$92.63	$160.54	$271.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.71 / $206.02 / $361.15	Professional		$152.71	$206.02	$361.15