Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.32 / $4,118.00 / $9,842.00	Facility		$197.32	$4,118.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.54 / $216.75 / $331.44	Professional		$173.54	$216.75	$331.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.79 / $318.00 / $636.70	Professional		$201.79	$318.00	$636.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $278.68 / $364.93 / $445.60	Professional		$278.68	$364.93	$445.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,764.78 / $2,116.94 / $3,757.21	Facility		$1,764.78	$2,116.94	$3,757.21
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.28 / $247.00 / $397.72	Professional		$161.28	$247.00	$397.72
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 $220.24 / $319.89 / $534.83	Professional		$220.24	$319.89	$534.83