Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $4,118.00 / $9,784.00	Facility		$25.25	$4,118.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $44.20 / $117.02	Professional		$24.16	$44.20	$117.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $48.04 / $101.85	Professional		$25.16	$48.04	$101.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.96 / $81.28 / $93.44	Professional		$59.96	$81.28	$93.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,433.32 / $1,488.21 / $3,022.45	Facility		$1,433.32	$1,488.21	$3,022.45
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $55.66 / $82.90	Professional		$26.26	$55.66	$82.90
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 $31.91 / $53.69 / $108.37	Professional		$31.91	$53.69	$108.37