Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.35 / $4,294.00 / $9,950.00	Facility		$164.35	$4,294.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.64 / $233.54 / $360.26	Professional		$125.64	$233.54	$360.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $264.11 / $660.56	Professional		$107.30	$264.11	$660.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $269.39 / $349.41 / $821.94	Professional		$269.39	$349.41	$821.94
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,900.26 / $2,130.76 / $4,490.68	Facility		$1,900.26	$2,130.76	$4,490.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.73 / $267.95 / $440.39	Professional		$107.73	$267.95	$440.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,425.00 / $5,265.00 / $10,536.00	Facility		$3,425.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.45 / $340.63 / $587.70	Professional		$240.45	$340.63	$587.70