Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.19 / $4,294.00 / $9,950.00	Facility		$99.19	$4,294.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.53 / $105.03 / $193.23	Professional		$95.53	$105.03	$193.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $130.50 / $248.18	Professional		$72.75	$130.50	$248.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $127.41 / $172.72 / $182.76	Professional		$127.41	$172.72	$182.76
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.46 / $134.30 / $201.45	Professional		$102.46	$134.30	$201.45
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 $61.84 / $115.21 / $225.00	Professional		$61.84	$115.21	$225.00