Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.53 / $5,975.00 / $10,692.00	Facility		$354.53	$5,975.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.54 / $370.64 / $589.52	Professional		$252.54	$370.64	$589.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.11 / $435.32 / $1,098.65	Professional		$254.11	$435.32	$1,098.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $430.96 / $563.07 / $1,324.56	Professional		$430.96	$563.07	$1,324.56
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,728.33 / $5,671.88 / $12,299.42	Facility		$4,728.33	$5,671.88	$12,299.42
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.00 / $471.00 / $659.75	Professional		$257.00	$471.00	$659.75
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $7,250.00 / $10,536.00	Facility		$3,885.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.62 / $536.46 / $900.88	Professional		$337.62	$536.46	$900.88