Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.47 / $3,987.00 / $9,784.00	Facility		$54.47	$3,987.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.18 / $90.51 / $190.64	Professional		$55.18	$90.51	$190.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $117.92 / $224.15	Professional		$63.50	$117.92	$224.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $126.98 / $172.13 / $188.12	Professional		$126.98	$172.13	$188.12
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.72 / $125.51 / $179.05	Professional		$91.72	$125.51	$179.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,341.00 / $2,626.00 / $5,864.00	Facility		$1,341.00	$2,626.00	$5,864.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.22 / $119.36 / $252.25	Professional		$63.22	$119.36	$252.25