Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.10 / $5,009.00 / $9,860.00	Facility		$166.10	$5,009.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.87 / $174.73 / $325.75	Professional		$116.87	$174.73	$325.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.92 / $194.56 / $408.10	Professional		$105.92	$194.56	$408.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $211.52 / $286.72 / $322.41	Professional		$211.52	$286.72	$322.41
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.85 / $221.76 / $340.83	Professional		$128.85	$221.76	$340.83
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 $118.10 / $188.47 / $402.31	Professional		$118.10	$188.47	$402.31