Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.89 / $4,294.00 / $9,950.00	Facility		$163.89	$4,294.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.87 / $162.94 / $241.34	Professional		$121.87	$162.94	$241.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.08 / $199.07 / $443.88	Professional		$106.08	$199.07	$443.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $175.99 / $233.23 / $548.64	Professional		$175.99	$233.23	$548.64
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,081.78 / $5,544.92 / $11,261.39	Facility		$5,081.78	$5,544.92	$11,261.39
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.86 / $192.23 / $280.30	Professional		$107.86	$192.23	$280.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,425.00 / $5,265.00 / $10,536.00	Facility		$3,425.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $207.90 / $383.89	Professional		$139.69	$207.90	$383.89