Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.41 / $4,294.00 / $9,860.00	Facility		$256.41	$4,294.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.00 / $231.76 / $358.10	Professional		$191.00	$231.76	$358.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.95 / $352.03 / $734.85	Professional		$217.95	$352.03	$734.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $297.85 / $390.22 / $476.79	Professional		$297.85	$390.22	$476.79
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.51 / $739.55 / $1,410.38	Facility		$616.51	$739.55	$1,410.38
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.17 / $267.36 / $434.39	Professional		$174.17	$267.36	$434.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,141.00 / $3,280.00 / $7,273.00	Facility		$1,141.00	$3,280.00	$7,273.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.22 / $328.36 / $581.61	Professional		$239.22	$328.36	$581.61