Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.72 / $4,294.00 / $9,950.00	Facility		$138.72	$4,294.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $140.16 / $211.18	Professional		$102.33	$140.16	$211.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.44 / $172.06 / $398.31	Professional		$90.44	$172.06	$398.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $159.30 / $210.02 / $494.05	Professional		$159.30	$210.02	$494.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,474.74 / $5,544.92 / $10,574.69	Facility		$4,474.74	$5,544.92	$10,574.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.33 / $172.79 / $257.35	Professional		$91.33	$172.79	$257.35
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 $126.01 / $188.23 / $345.06	Professional		$126.01	$188.23	$345.06