Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.16 / $5,982.00 / $11,298.00	Facility		$143.16	$5,982.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.42 / $143.16 / $241.84	Professional		$92.42	$143.16	$241.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.27 / $163.94 / $292.70	Professional		$90.27	$163.94	$292.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $179.65 / $243.52 / $273.41	Professional		$179.65	$243.52	$273.41
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.99 / $178.75 / $280.57	Professional		$101.99	$178.75	$280.57
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 $96.70 / $173.48 / $355.71	Professional		$96.70	$173.48	$355.71