Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.07 / $3,827.00 / $9,784.00	Facility		$85.07	$3,827.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.25 / $156.18 / $339.71	Professional		$99.25	$156.18	$339.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $164.86 / $359.11	Professional		$79.25	$164.86	$359.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,547.88 / $1,567.69 / $3,474.07	Facility		$1,547.88	$1,567.69	$3,474.07
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.87 / $195.98 / $294.70	Professional		$113.87	$195.98	$294.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.01 / $200.01 / $380.49	Professional		$105.01	$200.01	$380.49