Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.76 / $4,294.00 / $9,950.00	Facility		$121.76	$4,294.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $179.61 / $284.56	Professional		$85.67	$179.61	$284.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.01 / $214.15 / $504.90	Professional		$80.01	$214.15	$504.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $222.97 / $283.13 / $666.04	Professional		$222.97	$283.13	$666.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,354.71 / $4,179.20 / $4,490.68	Facility		$2,354.71	$4,179.20	$4,490.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.72 / $216.71 / $350.57	Professional		$80.72	$216.71	$350.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,788.00 / $7,579.00	Facility		$2,150.00	$4,788.00	$7,579.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.53 / $269.89 / $456.78	Professional		$173.53	$269.89	$456.78