Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.03 / $4,118.00 / $9,842.00	Facility		$168.03	$4,118.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.54 / $201.88 / $319.33	Professional		$156.54	$201.88	$319.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.88 / $288.85 / $742.58	Professional		$177.88	$288.85	$742.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $188.37 / $328.60 / $333.22	Professional		$188.37	$328.60	$333.22
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,164.46 / $2,164.46 / $2,164.46	Facility		$2,164.46	$2,164.46	$2,164.46
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.81 / $238.40 / $526.30	Professional		$149.81	$238.40	$526.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,423.00 / $3,522.00 / $7,273.00	Facility		$1,423.00	$3,522.00	$7,273.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.07 / $330.90 / $698.04	Professional		$192.07	$330.90	$698.04