Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $487.59 / $487.59	Facility		$487.59	$487.59	$487.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $492.46	Professional		$487.59	$487.59	$492.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $489.60 / $633.60	Facility		$487.59	$489.60	$633.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $510.35	Professional		$487.59	$487.59	$510.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $482.99 / $487.59 / $723.33	Professional		$482.99	$487.59	$723.33
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $493.30 / $493.30 / $493.30	Professional		$493.30	$493.30	$493.30
United Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $536.35	Professional		$487.59	$487.59	$536.35