Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.38 / $4,540.00 / $9,950.00	Facility		$342.38	$4,540.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.19 / $295.79 / $365.82	Professional		$217.19	$295.79	$365.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $412.95 / $412.95 / $412.95	Professional		$412.95	$412.95	$412.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,721.86 / $3,721.86 / $8,795.46	Facility		$3,721.86	$3,721.86	$8,795.46
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.82 / $361.66 / $601.66	Professional		$245.82	$361.66	$601.66
United Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $5,225.00 / $10,536.00	Facility		$3,204.00	$5,225.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.42 / $313.62 / $705.02	Professional		$207.42	$313.62	$705.02