Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.93 / $4,606.00 / $9,950.00	Facility		$427.93	$4,606.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.27 / $541.09 / $772.56	Professional		$400.27	$541.09	$772.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.25 / $638.62 / $1,462.25	Professional		$367.25	$638.62	$1,462.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $523.62 / $697.63 / $1,641.09	Professional		$523.62	$697.63	$1,641.09
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,577.22 / $5,671.88 / $11,519.32	Facility		$4,577.22	$5,671.88	$11,519.32
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.92 / $616.54 / $858.64	Professional		$373.92	$616.54	$858.64
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 $474.38 / $649.00 / $1,143.15	Professional		$474.38	$649.00	$1,143.15