Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.81 / $4,118.00 / $9,784.00	Facility		$91.81	$4,118.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $176.21 / $266.23	Professional		$83.45	$176.21	$266.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.83 / $210.31 / $561.69	Professional		$101.83	$210.31	$561.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.14 / $331.91 / $358.69	Professional		$213.14	$331.91	$358.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.63 / $3,841.56 / $4,395.92	Facility		$2,084.63	$3,841.56	$4,395.92
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.66 / $215.42 / $395.04	Professional		$84.66	$215.42	$395.04
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 $169.93 / $299.91 / $602.83	Professional		$169.93	$299.91	$602.83