Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.67 / $4,540.00 / $10,871.00	Facility		$89.67	$4,540.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.06 / $132.34 / $251.89	Professional		$97.06	$132.34	$251.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.16 / $160.33 / $318.27	Professional		$79.16	$160.33	$318.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.89 / $230.30 / $256.10	Professional		$169.89	$230.30	$256.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,363.91 / $1,363.91 / $1,488.21	Facility		$1,363.91	$1,363.91	$1,488.21
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.66 / $167.72 / $237.93	Professional		$106.66	$167.72	$237.93
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 $85.48 / $150.74 / $308.72	Professional		$85.48	$150.74	$308.72