Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,715.00 / $5,192.00 / $10,692.00	Facility		$1,715.00	$5,192.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.54 / $400.00 / $400.00	Professional		$59.54	$400.00	$400.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.19 / $77.19 / $139.96	Professional		$77.19	$77.19	$139.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $442.74 / $483.09 / $921.30	Facility		$442.74	$483.09	$921.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $119.65 / $176.37	Professional		$94.74	$119.65	$176.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $3,339.00 / $9,152.00	Facility		$1,200.00	$3,339.00	$9,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.44 / $103.84 / $216.85	Professional		$60.44	$103.84	$216.85