Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.63 / $1,844.67 / $3,778.51	Facility		$363.63	$1,844.67	$3,778.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.32 / $1,801.27 / $1,844.67	Professional		$134.32	$1,801.27	$1,844.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $175.08 / $226.58	Facility		$143.26	$175.08	$226.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Professional		$143.26	$143.26	$143.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,516.23 / $1,516.23 / $1,783.80	Professional		$1,516.23	$1,516.23	$1,783.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,785.00 / $13,785.00 / $13,785.00	Facility		$13,785.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.42 / $1,083.58 / $1,083.58	Professional		$355.42	$1,083.58	$1,083.58
United Facility/Professional Professional Modifier Low / Median / High Price $2,170.19 / $2,170.19 / $2,257.88	Professional		$2,170.19	$2,170.19	$2,257.88