Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.68 / $2,033.12 / $3,996.02	Facility		$106.68	$2,033.12	$3,996.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.42 / $106.68 / $171.51	Professional		$85.42	$106.68	$171.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.29 / $165.41 / $393.71	Professional		$112.29	$165.41	$393.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $124.43 / $157.77 / $192.45	Professional		$124.43	$157.77	$192.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,444.13 / $7,444.95 / $15,699.33	Facility		$6,444.13	$7,444.95	$15,699.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $113.42 / $222.48	Professional		$85.58	$113.42	$222.48
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 $80.30 / $124.41 / $219.75	Professional		$80.30	$124.41	$219.75