Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.02 / $3,384.00 / $9,784.00	Facility		$302.02	$3,384.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.02 / $401.74 / $659.75	Professional		$302.02	$401.74	$659.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.77 / $606.42 / $1,370.04	Professional		$315.77	$606.42	$1,370.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $540.20 / $708.60 / $869.40	Professional		$540.20	$708.60	$869.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,615.29 / $6,377.03 / $15,088.81	Facility		$5,615.29	$6,377.03	$15,088.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.01 / $475.83 / $796.35	Professional		$265.01	$475.83	$796.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,844.00 / $7,579.00	Facility		$2,468.00	$4,844.00	$7,579.00
United Facility/Professional Professional Modifier Low / Median / High Price $259.72 / $516.01 / $1,012.89	Professional		$259.72	$516.01	$1,012.89