Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.86 / $6,325.00 / $11,298.00	Facility		$142.86	$6,325.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $142.86 / $177.67	Professional		$142.86	$142.86	$177.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $285.95 / $285.95 / $444.90	Professional		$285.95	$285.95	$444.90
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.71 / $442.74 / $549.24	Facility		$402.71	$442.74	$549.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.71 / $328.86 / $551.29	Professional		$241.71	$328.86	$551.29
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 $192.13 / $317.73 / $657.76	Professional		$192.13	$317.73	$657.76