Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.62 / $4,540.00 / $10,871.00	Facility		$54.62	$4,540.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.18 / $83.92 / $163.63	Professional		$60.18	$83.92	$163.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.83 / $102.22 / $201.10	Professional		$53.83	$102.22	$201.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.96 / $155.83 / $174.00	Professional		$114.96	$155.83	$174.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,200.99 / $1,692.05 / $3,227.16	Facility		$1,200.99	$1,692.05	$3,227.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $113.61 / $162.19	Professional		$69.70	$113.61	$162.19
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 $62.02 / $105.15 / $205.15	Professional		$62.02	$105.15	$205.15