Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.93 / $5,458.00 / $9,950.00	Facility		$211.93	$5,458.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.35 / $169.28 / $302.63	Professional		$153.35	$169.28	$302.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.65 / $268.77 / $480.68	Professional		$163.65	$268.77	$480.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $211.83 / $284.26 / $338.24	Professional		$211.83	$284.26	$338.24
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,958.22 / $6,958.22 / $14,131.76	Facility		$6,958.22	$6,958.22	$14,131.76
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.15 / $186.37 / $326.70	Professional		$145.15	$186.37	$326.70
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 $165.04 / $240.84 / $421.80	Professional		$165.04	$240.84	$421.80