Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.36 / $2,612.00 / $9,125.00	Facility		$86.36	$2,612.00	$9,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.28 / $161.13 / $257.14	Professional		$76.28	$161.13	$257.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.61 / $198.14 / $504.10	Professional		$93.61	$198.14	$504.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $220.69 / $297.64 / $301.58	Professional		$220.69	$297.64	$301.58
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.54 / $1,914.26 / $3,650.97	Facility		$1,621.54	$1,914.26	$3,650.97
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.10 / $181.16 / $366.30	Professional		$83.10	$181.16	$366.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,423.00 / $3,488.00 / $7,273.00	Facility		$1,423.00	$3,488.00	$7,273.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.18 / $261.27 / $533.78	Professional		$140.18	$261.27	$533.78