Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,273.00 / $5,122.00 / $9,842.00	Facility		$1,273.00	$5,122.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $140.26 / $173.50	Professional		$102.94	$140.26	$173.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $196.72 / $196.72 / $196.72	Professional		$196.72	$196.72	$196.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,710.84 / $9,249.58 / $20,057.59	Facility		$7,710.84	$9,249.58	$20,057.59
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.53 / $168.60 / $280.33	Professional		$116.53	$168.60	$280.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,888.00 / $4,698.00 / $7,538.00	Facility		$1,888.00	$4,698.00	$7,538.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.59 / $155.07 / $338.58	Professional		$98.59	$155.07	$338.58