Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.81 / $33.81 / $504.70	Facility		$33.81	$33.81	$504.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $41.00 / $420.00	Professional		$30.00	$41.00	$420.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $525.00 / $525.00	Facility		$525.00	$525.00	$525.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.35 / $574.00 / $910.00	Professional		$154.35	$574.00	$910.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.00 / $371.00 / $529.54	Professional		$329.00	$371.00	$529.54
United Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $75.00 / $116.05	Professional		$52.00	$75.00	$116.05