Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $23.40 / $29.64	Professional		$15.71	$23.40	$29.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $45.13 / $45.13	Professional		$45.13	$45.13	$45.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.34 / $86.34 / $86.34	Facility		$86.34	$86.34	$86.34
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.39 / $32.22 / $41.18	Professional		$27.39	$32.22	$41.18
United Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $25.65 / $53.98	Professional		$19.02	$25.65	$53.98