Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.43 / $3,110.00 / $9,383.00	Facility		$90.43	$3,110.00	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.18 / $190.35 / $250.93	Professional		$75.18	$190.35	$250.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.65 / $206.86 / $551.25	Professional		$90.65	$206.86	$551.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $205.46 / $278.17 / $350.81	Professional		$205.46	$278.17	$350.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,403.56 / $1,683.65 / $3,650.97	Facility		$1,403.56	$1,683.65	$3,650.97
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $212.98 / $438.50	Professional		$67.81	$212.98	$438.50
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 $180.58 / $293.33 / $563.78	Professional		$180.58	$293.33	$563.78