Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.53 / $4,294.00 / $9,784.00	Facility		$137.53	$4,294.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $208.47 / $277.02	Professional		$108.80	$208.47	$277.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.15 / $258.22 / $497.86	Professional		$139.15	$258.22	$497.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $290.29 / $397.65 / $492.67	Professional		$290.29	$397.65	$492.67
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,601.25 / $1,920.79 / $3,663.14	Facility		$1,601.25	$1,920.79	$3,663.14
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.04 / $250.39 / $403.22	Professional		$108.04	$250.39	$403.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,284.00 / $3,961.00 / $10,536.00	Facility		$2,284.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.24 / $305.85 / $575.47	Professional		$223.24	$305.85	$575.47