Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.53 / $4,294.00 / $8,419.00	Facility		$193.53	$4,294.00	$8,419.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.50 / $195.04 / $318.76	Professional		$168.50	$195.04	$318.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.07 / $292.83 / $591.85	Professional		$185.07	$292.83	$591.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $287.02 / $375.95 / $459.71	Professional		$287.02	$375.95	$459.71
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,641.00 / $7,444.95 / $15,699.33	Facility		$1,641.00	$7,444.95	$15,699.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.74 / $235.53 / $382.24	Professional		$149.74	$235.53	$382.24
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 $217.79 / $304.14 / $514.59	Professional		$217.79	$304.14	$514.59