Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.76 / $4,118.00 / $9,284.00	Facility		$119.76	$4,118.00	$9,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $165.60 / $293.50	Professional		$109.93	$165.60	$293.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.44 / $236.53 / $601.97	Professional		$137.44	$236.53	$601.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $174.46 / $266.83 / $306.37	Professional		$174.46	$266.83	$306.37
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,804.40 / $2,164.46 / $4,127.87	Facility		$1,804.40	$2,164.46	$4,127.87
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.31 / $203.40 / $399.26	Professional		$114.31	$203.40	$399.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,885.00 / $9,152.00	Facility		$2,354.00	$3,885.00	$9,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.18 / $253.57 / $485.00	Professional		$149.18	$253.57	$485.00