Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.98 / $3,601.31 / $6,872.00	Facility		$900.98	$3,601.31	$6,872.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $26.38 / $50.71 / $331.37	Facility	53	$26.38	$50.71	$331.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $780.76 / $1,027.39	Professional		$131.88	$780.76	$1,027.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.01 / $534.00 / $2,364.21	Professional		$169.01	$534.00	$2,364.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $271.83 / $1,239.84 / $1,525.83	Professional		$271.83	$1,239.84	$1,525.83
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,178.88 / $3,610.11 / $8,541.95	Facility		$3,178.88	$3,610.11	$8,541.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.61 / $880.20 / $1,612.15	Professional		$120.61	$880.20	$1,612.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $625.36 / $1,079.47 / $2,270.16	Professional		$625.36	$1,079.47	$2,270.16