Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.13 / $5,109.00 / $9,860.00	Facility		$172.13	$5,109.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.18 / $220.61 / $338.34	Professional		$128.18	$220.61	$338.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.75 / $247.00 / $637.03	Professional		$110.75	$247.00	$637.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $244.59 / $317.57 / $747.05	Professional		$244.59	$317.57	$747.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,354.71 / $4,782.30 / $5,106.17	Facility		$2,354.71	$4,782.30	$5,106.17
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.96 / $246.05 / $401.27	Professional		$112.96	$246.05	$401.27
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 $190.46 / $310.95 / $538.03	Professional		$190.46	$310.95	$538.03