Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.06 / $4,540.00 / $10,871.00	Facility		$79.06	$4,540.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $109.62 / $210.08	Professional		$80.77	$109.62	$210.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.97 / $137.15 / $262.68	Professional		$71.97	$137.15	$262.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $153.07 / $207.50 / $231.41	Professional		$153.07	$207.50	$231.41
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,240.63 / $2,641.30 / $3,227.16	Facility		$1,240.63	$2,641.30	$3,227.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.24 / $152.49 / $212.38	Professional		$98.24	$152.49	$212.38
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 $82.28 / $141.03 / $275.37	Professional		$82.28	$141.03	$275.37