Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.37 / $3,985.00 / $9,284.00	Facility		$102.37	$3,985.00	$9,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.85 / $105.87 / $194.28	Professional		$90.85	$105.87	$194.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $166.96 / $382.19	Professional		$101.00	$166.96	$382.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $177.57 / $232.74 / $285.16	Professional		$177.57	$232.74	$285.16
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,708.38 / $1,764.78 / $4,037.21	Facility		$1,708.38	$1,764.78	$4,037.21
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.35 / $137.91 / $210.05	Professional		$84.35	$137.91	$210.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.06 / $166.30 / $286.14	Professional		$113.06	$166.30	$286.14