Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.00 / $4,540.00 / $10,202.00	Facility		$301.00	$4,540.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.50 / $304.99 / $483.96	Professional		$268.50	$304.99	$483.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.62 / $489.26 / $1,146.09	Professional		$289.62	$489.26	$1,146.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $294.24 / $419.69 / $513.08	Professional		$294.24	$419.69	$513.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,176.94 / $52,135.61 / $105,884.48	Facility		$47,176.94	$52,135.61	$105,884.48
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.05 / $369.65 / $783.11	Professional		$250.05	$369.65	$783.11
United Facility/Professional Facility Modifier Low / Median / High Price $6,066.00 / $12,315.00 / $27,214.00	Facility		$6,066.00	$12,315.00	$27,214.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.39 / $417.61 / $846.72	Professional		$222.39	$417.61	$846.72