Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.02 / $3,297.00 / $9,784.00	Facility		$147.02	$3,297.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.81 / $162.79 / $232.56	Professional		$122.81	$162.79	$232.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.81 / $244.41 / $607.39	Professional		$147.81	$244.41	$607.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.18 / $233.82 / $292.67	Professional		$169.18	$233.82	$292.67
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,523.51 / $1,683.65 / $3,210.89	Facility		$1,523.51	$1,683.65	$3,210.89
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.31 / $192.39 / $392.74	Professional		$111.31	$192.39	$392.74
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 $138.68 / $233.12 / $506.76	Professional		$138.68	$233.12	$506.76