Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.98 / $5,982.00 / $11,298.00	Facility		$303.98	$5,982.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.63 / $203.87 / $303.98	Professional		$91.63	$203.87	$303.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $153.01 / $276.70 / $328.63	Professional		$153.01	$276.70	$328.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,983.68 / $2,084.63 / $4,127.87	Facility		$1,983.68	$2,084.63	$4,127.87
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.79 / $223.22 / $397.56	Professional		$160.79	$223.22	$397.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.57 / $237.54 / $489.20	Professional		$153.57	$237.54	$489.20