Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.43 / $4,516.00 / $9,784.00	Facility		$197.43	$4,516.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.01 / $224.66 / $322.64	Professional		$174.01	$224.66	$322.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.05 / $320.14 / $813.83	Professional		$202.05	$320.14	$813.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $238.90 / $328.76 / $407.28	Professional		$238.90	$328.76	$407.28
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,746.73 / $1,958.61 / $4,693.64	Facility		$1,746.73	$1,958.61	$4,693.64
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.90 / $271.80 / $522.03	Professional		$172.90	$271.80	$522.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.78 / $314.70 / $604.74	Professional		$194.78	$314.70	$604.74