Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.31 / $4,294.00 / $9,860.00	Facility		$73.31	$4,294.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $81.09 / $149.63	Professional		$58.70	$81.09	$149.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.24 / $96.02 / $191.13	Professional		$50.24	$96.02	$191.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $103.10 / $139.76 / $159.38	Professional		$103.10	$139.76	$159.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.71 / $483.09 / $1,047.55	Facility		$402.71	$483.09	$1,047.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.94 / $102.28 / $145.76	Professional		$65.94	$102.28	$145.76
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 $52.91 / $90.98 / $182.53	Professional		$52.91	$90.98	$182.53