Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.67 / $4,667.00 / $10,202.00	Facility		$227.67	$4,667.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.30 / $192.67 / $335.84	Professional		$174.30	$192.67	$335.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.32 / $309.31 / $585.17	Professional		$182.32	$309.31	$585.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $316.19 / $375.64	Professional		$234.70	$316.19	$375.64
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,444.13 / $7,730.08 / $14,742.01	Facility		$6,444.13	$7,730.08	$14,742.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.12 / $214.12 / $357.06	Professional		$162.12	$214.12	$357.06
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 $183.47 / $238.97 / $450.66	Professional		$183.47	$238.97	$450.66