Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.70 / $4,667.00 / $10,202.00	Facility		$194.70	$4,667.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.19 / $194.70 / $533.92	Professional		$138.19	$194.70	$533.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $139.06 / $256.30 / $298.00	Professional		$139.06	$256.30	$298.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,958.61 / $1,983.68 / $4,395.92	Facility		$1,958.61	$1,983.68	$4,395.92
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.41 / $197.54 / $365.74	Professional		$144.41	$197.54	$365.74
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 $126.32 / $234.80 / $572.91	Professional		$126.32	$234.80	$572.91