Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $112.27 / $4,105.00	Facility		$40.95	$112.27	$4,105.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $69.65 / $103.88	Professional		$41.96	$69.65	$103.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $108.41 / $247.78	Professional		$51.84	$108.41	$247.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $92.49 / $133.22 / $163.85	Professional		$92.49	$133.22	$163.85
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.90 / $380.90 / $1,023.51	Facility		$380.90	$380.90	$1,023.51
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $87.15 / $146.06	Professional		$39.31	$87.15	$146.06
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 $65.34 / $98.31 / $184.58	Professional		$65.34	$98.31	$184.58