Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.77 / $3,979.00 / $9,784.00	Facility		$96.77	$3,979.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.77 / $117.97 / $195.20	Professional		$96.77	$117.97	$195.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.22 / $180.40 / $405.08	Professional		$111.22	$180.40	$405.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $192.84 / $252.83 / $309.93	Professional		$192.84	$252.83	$309.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,994.86 / $6,994.86 / $7,730.08	Facility		$6,994.86	$6,994.86	$7,730.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.65 / $151.32 / $238.55	Professional		$89.65	$151.32	$238.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,879.00 / $5,864.00 / $10,105.00	Facility		$2,879.00	$5,864.00	$10,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.38 / $199.10 / $347.04	Professional		$135.38	$199.10	$347.04