Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.83 / $4,134.00 / $9,784.00	Facility		$91.83	$4,134.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $146.69 / $224.19	Professional		$85.00	$146.69	$224.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $159.07 / $352.72	Professional		$76.45	$159.07	$352.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $164.85 / $215.00 / $505.76	Professional		$164.85	$215.00	$505.76
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,158.03 / $4,179.20 / $4,782.30	Facility		$2,158.03	$4,179.20	$4,782.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $160.68 / $262.24	Professional		$78.59	$160.68	$262.24
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 $146.13 / $215.34 / $434.88	Professional		$146.13	$215.34	$434.88