Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.81 / $33.81 / $432.60	Facility		$33.81	$33.81	$432.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $360.00	Professional		$30.00	$40.00	$360.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $132.30 / $492.00 / $780.00	Professional		$132.30	$492.00	$780.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.00 / $318.00 / $453.90	Professional		$282.00	$318.00	$453.90
United Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $75.00 / $111.00	Professional		$52.00	$75.00	$111.00