Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $5,982.00 / $11,298.00	Facility		$138.33	$5,982.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.28 / $133.19 / $226.32	Professional		$115.28	$133.19	$226.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.62 / $215.10 / $428.98	Professional		$145.62	$215.10	$428.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $161.07 / $205.44 / $249.73	Professional		$161.07	$205.44	$249.73
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,238.19 / $6,238.19 / $14,742.01	Facility		$6,238.19	$6,238.19	$14,742.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $149.15 / $279.24	Professional		$110.30	$149.15	$279.24
United Facility/Professional Facility Modifier Low / Median / High Price $5,378.00 / $8,305.00 / $14,121.00	Facility		$5,378.00	$8,305.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.58 / $163.47 / $281.89	Professional		$103.58	$163.47	$281.89