Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.55 / $5,982.00 / $11,298.00	Facility		$116.55	$5,982.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.90 / $103.54 / $182.90	Professional		$83.90	$103.54	$182.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.14 / $168.60 / $286.74	Professional		$121.14	$168.60	$286.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $135.53 / $170.68 / $209.14	Professional		$135.53	$170.68	$209.14
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.51 / $677.78 / $739.55	Facility		$616.51	$677.78	$739.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.99 / $117.73 / $200.01	Professional		$92.99	$117.73	$200.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.94 / $135.36 / $239.42	Professional		$84.94	$135.36	$239.42