Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.11 / $4,174.00 / $9,784.00	Facility		$377.11	$4,174.00	$9,784.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,333.50 / $4,217.25 / $7,970.65	Facility	50	$2,333.50	$4,217.25	$7,970.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.11 / $448.50 / $948.79	Professional		$377.11	$448.50	$948.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.52 / $755.32 / $1,602.08	Professional		$446.52	$755.32	$1,602.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $656.16 / $881.98 / $1,045.89	Professional		$656.16	$881.98	$1,045.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,532.15 / $9,309.76 / $20,188.08	Facility		$8,532.15	$9,309.76	$20,188.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.84 / $533.25 / $1,034.90	Professional		$415.84	$533.25	$1,034.90
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $8,305.00 / $14,121.00	Facility		$5,682.00	$8,305.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $294.35 / $517.97 / $1,131.04	Professional		$294.35	$517.97	$1,131.04