Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.17 / $4,294.00 / $9,950.00	Facility		$219.17	$4,294.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.93 / $232.92 / $349.88	Professional		$188.93	$232.92	$349.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.97 / $279.55 / $684.51	Professional		$173.97	$279.55	$684.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $216.70 / $297.42 / $699.65	Professional		$216.70	$297.42	$699.65
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $586.50 / $726.77 / $1,289.86	Facility		$586.50	$726.77	$1,289.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.80 / $264.82 / $368.86	Professional		$177.80	$264.82	$368.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,341.00 / $2,626.00 / $5,864.00	Facility		$1,341.00	$2,626.00	$5,864.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.06 / $268.92 / $471.68	Professional		$198.06	$268.92	$471.68