Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.08 / $5,009.00 / $9,842.00	Facility		$136.08	$5,009.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.54 / $139.68 / $242.67	Professional		$124.54	$139.68	$242.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.34 / $216.16 / $435.68	Professional		$134.34	$216.16	$435.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.18 / $273.39 / $327.86	Professional		$204.18	$273.39	$327.86
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,994.86 / $7,444.95 / $16,762.59	Facility		$6,994.86	$7,444.95	$16,762.59
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.67 / $170.82 / $273.38	Professional		$113.67	$170.82	$273.38
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 $151.38 / $217.36 / $350.14	Professional		$151.38	$217.36	$350.14