Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.39 / $4,667.00 / $10,202.00	Facility		$294.39	$4,667.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.39 / $294.39 / $1,039.74	Professional		$294.39	$294.39	$1,039.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $463.66 / $660.51 / $986.90	Professional		$463.66	$660.51	$986.90
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.06 / $511.01 / $899.38	Professional		$360.06	$511.01	$899.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.95 / $639.87 / $1,235.43	Professional		$368.95	$639.87	$1,235.43