Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.47 / $4,294.00 / $9,860.00	Facility		$121.47	$4,294.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.43 / $143.37 / $222.34	Professional		$91.43	$143.37	$222.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $167.63 / $380.25	Professional		$78.65	$167.63	$380.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $163.32 / $211.49 / $497.51	Professional		$163.32	$211.49	$497.51
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,132.43 / $5,671.88 / $12,299.42	Facility		$5,132.43	$5,671.88	$12,299.42
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $162.32 / $264.95	Professional		$78.59	$162.32	$264.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $4,500.09 / $9,811.24	Facility		$2,354.00	$4,500.09	$9,811.24
United Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $177.23 / $345.32	Professional		$87.73	$177.23	$345.32