Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.42 / $5,458.00 / $9,950.00	Facility		$166.42	$5,458.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.85 / $134.29 / $224.79	Professional		$115.85	$134.29	$224.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.84 / $209.76 / $420.93	Professional		$127.84	$209.76	$420.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.21 / $201.42 / $241.31	Professional		$151.21	$201.42	$241.31
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,994.86 / $7,730.08 / $14,742.01	Facility		$6,994.86	$7,730.08	$14,742.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.44 / $148.69 / $285.88	Professional		$107.44	$148.69	$285.88
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 $117.43 / $166.53 / $298.64	Professional		$117.43	$166.53	$298.64