Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.54 / $3,870.00 / $9,784.00	Facility		$167.54	$3,870.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.31 / $223.85 / $359.78	Professional		$134.31	$223.85	$359.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $312.67 / $844.94	Professional		$164.32	$312.67	$844.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $261.14 / $373.91 / $382.09	Professional		$261.14	$373.91	$382.09
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,565.70 / $8,360.91 / $15,945.14	Facility		$7,565.70	$8,360.91	$15,945.14
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $252.81 / $609.70	Professional		$124.05	$252.81	$609.70
United Facility/Professional Facility Modifier Low / Median / High Price $5,378.00 / $8,305.00 / $14,121.00	Facility		$5,378.00	$8,305.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.33 / $366.95 / $845.07	Professional		$202.33	$366.95	$845.07