Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.75 / $5,982.00 / $11,230.00	Facility		$99.75	$5,982.00	$11,230.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.75 / $123.36 / $214.71	Professional		$99.75	$123.36	$214.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.88 / $187.56 / $445.00	Professional		$90.88	$187.56	$445.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $137.77 / $189.53 / $221.97	Professional		$137.77	$189.53	$221.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,572.89 / $13,993.66 / $17,097.55	Facility		$6,572.89	$13,993.66	$17,097.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.17 / $127.59 / $261.29	Professional		$96.17	$127.59	$261.29
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.02 / $126.47 / $258.85	Professional		$90.02	$126.47	$258.85