Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.30 / $4,294.00 / $9,950.00	Facility		$169.30	$4,294.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.83 / $2,176.27 / $3,359.55	Professional		$157.83	$2,176.27	$3,359.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.40 / $2,139.67 / $9,270.60	Professional		$196.40	$2,139.67	$9,270.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $320.67 / $3,896.91 / $4,790.17	Professional		$320.67	$3,896.91	$4,790.17
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,606.42 / $13,851.67 / $25,525.77	Facility		$11,606.42	$13,851.67	$25,525.77
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.27 / $2,856.70 / $5,175.28	Professional		$142.27	$2,856.70	$5,175.28
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $9,969.00 / $19,696.00	Facility		$5,682.00	$9,969.00	$19,696.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,634.58 / $3,487.89 / $7,695.81	Professional		$1,634.58	$3,487.89	$7,695.81