Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.07 / $4,326.00 / $9,950.00	Facility		$170.07	$4,326.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.11 / $196.21 / $276.20	Professional		$128.11	$196.21	$276.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $216.85 / $509.21	Professional		$107.30	$216.85	$509.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $249.47 / $260.81 / $604.88	Professional		$249.47	$260.81	$604.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,900.26 / $2,130.76 / $2,677.24	Facility		$1,900.26	$2,130.76	$2,677.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.96 / $214.71 / $318.14	Professional		$108.96	$214.71	$318.14
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 $176.70 / $248.03 / $430.74	Professional		$176.70	$248.03	$430.74