Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.87 / $4,294.00 / $9,860.00	Facility		$164.87	$4,294.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.30 / $164.87 / $259.31	Professional		$139.30	$164.87	$259.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.19 / $247.42 / $550.92	Professional		$132.19	$247.42	$550.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $217.61 / $299.36 / $350.07	Professional		$217.61	$299.36	$350.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,906.24 / $3,002.18 / $6,391.63	Facility		$2,906.24	$3,002.18	$6,391.63
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.12 / $189.42 / $300.06	Professional		$127.12	$189.42	$300.06
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $205.92 / $360.99	Professional		$138.63	$205.92	$360.99