Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.96 / $4,908.00 / $9,842.00	Facility		$192.96	$4,908.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $182.98 / $236.53	Professional		$117.74	$182.98	$236.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.55 / $265.75 / $627.20	Professional		$131.55	$265.75	$627.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $240.89 / $316.06 / $388.08	Professional		$240.89	$316.06	$388.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,002.18 / $3,601.29 / $7,809.33	Facility		$3,002.18	$3,601.29	$7,809.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $205.93 / $342.52	Professional		$102.75	$205.93	$342.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.15 / $210.40 / $417.73	Professional		$116.15	$210.40	$417.73