Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.00 / $5,109.00 / $9,860.00	Facility		$298.00	$5,109.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.23 / $318.83 / $457.57	Professional		$225.23	$318.83	$457.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.67 / $370.41 / $858.83	Professional		$188.67	$370.41	$858.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $331.44 / $438.33 / $1,031.13	Professional		$331.44	$438.33	$1,031.13
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 $194.81 / $363.17 / $556.67	Professional		$194.81	$363.17	$556.67
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 $303.08 / $422.50 / $728.30	Professional		$303.08	$422.50	$728.30