Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.61 / $4,134.00 / $9,842.00	Facility		$139.61	$4,134.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.46 / $251.62 / $374.06	Professional		$128.46	$251.62	$374.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.74 / $341.79 / $879.31	Professional		$158.74	$341.79	$879.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $294.39 / $475.75 / $491.99	Professional		$294.39	$475.75	$491.99
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,804.40 / $1,983.68 / $3,841.56	Facility		$1,804.40	$1,983.68	$3,841.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.58 / $307.79 / $622.07	Professional		$137.58	$307.79	$622.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.37 / $446.87 / $773.00	Professional		$264.37	$446.87	$773.00