Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.16 / $5,975.00 / $10,692.00	Facility		$252.16	$5,975.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.16 / $275.19 / $379.27	Professional		$191.16	$275.19	$379.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.38 / $333.52 / $740.10	Professional		$166.38	$333.52	$740.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $277.77 / $363.00 / $853.90	Professional		$277.77	$363.00	$853.90
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,671.88 / $5,671.88 / $10,066.58	Facility		$5,671.88	$5,671.88	$10,066.58
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.78 / $302.44 / $467.64	Professional		$162.78	$302.44	$467.64
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 $251.52 / $344.96 / $672.09	Professional		$251.52	$344.96	$672.09