Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.48 / $4,174.00 / $9,784.00	Facility		$329.48	$4,174.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.25 / $540.03 / $791.17	Professional		$295.25	$540.03	$791.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.16 / $757.39 / $1,932.60	Professional		$365.16	$757.39	$1,932.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $560.20 / $867.76 / $1,085.72	Professional		$560.20	$867.76	$1,085.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,747.57 / $5,397.86 / $9,054.09	Facility		$4,747.57	$5,397.86	$9,054.09
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.50 / $639.89 / $1,300.63	Professional		$283.50	$639.89	$1,300.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,505.00 / $5,803.00 / $10,105.00	Facility		$2,505.00	$5,803.00	$10,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $520.76 / $834.75 / $1,664.21	Professional		$520.76	$834.75	$1,664.21