Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.25 / $4,174.00 / $10,692.00	Facility		$62.25	$4,174.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.41 / $79.98 / $110.00	Professional		$60.41	$79.98	$110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.42 / $114.78 / $239.54	Professional		$70.42	$114.78	$239.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.94 / $137.65 / $166.36	Professional		$89.94	$137.65	$166.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $621.87 / $645.67 / $1,311.35	Facility		$621.87	$645.67	$1,311.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.16 / $104.35 / $200.85	Professional		$66.16	$104.35	$200.85
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 $78.20 / $117.60 / $285.30	Professional		$78.20	$117.60	$285.30