Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.39 / $4,667.00 / $10,202.00	Facility		$106.39	$4,667.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.66 / $92.67 / $111.97	Professional		$78.66	$92.67	$111.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $119.01 / $142.00 / $163.28	Professional		$119.01	$142.00	$163.28
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.02 / $114.97 / $229.08	Professional		$80.02	$114.97	$229.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,141.00 / $3,236.00 / $7,273.00	Facility		$1,141.00	$3,236.00	$7,273.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $123.80 / $259.49	Professional		$80.06	$123.80	$259.49