Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.69 / $4,174.00 / $9,860.00	Facility		$934.69	$4,174.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.83 / $644.38 / $984.17	Professional		$488.83	$644.38	$984.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.74 / $807.51 / $1,609.09	Professional		$403.74	$807.51	$1,609.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $551.40 / $623.20 / $1,465.99	Professional		$551.40	$623.20	$1,465.99
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.90 / $1,333.77 / $2,543.59	Facility		$1,206.90	$1,333.77	$2,543.59
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.07 / $610.61 / $1,311.86	Professional		$411.07	$610.61	$1,311.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,913.40 / $3,823.00 / $9,152.00	Facility		$1,913.40	$3,823.00	$9,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $371.60 / $675.95 / $1,189.51	Professional		$371.60	$675.95	$1,189.51