Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.07 / $5,905.00 / $10,692.00	Facility		$125.07	$5,905.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.30 / $125.07 / $197.48	Professional		$112.30	$125.07	$197.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.75 / $198.05 / $400.64	Professional		$120.75	$198.05	$400.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $182.53 / $239.25 / $292.86	Professional		$182.53	$239.25	$292.86
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,444.95 / $7,730.08 / $14,742.01	Facility		$7,444.95	$7,730.08	$14,742.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.33 / $152.97 / $244.44	Professional		$101.33	$152.97	$244.44
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 $136.87 / $199.38 / $334.30	Professional		$136.87	$199.38	$334.30