Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.05 / $4,294.00 / $10,871.00	Facility		$109.05	$4,294.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.69 / $119.98 / $156.62	Professional		$85.69	$119.98	$156.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.12 / $178.21 / $409.84	Professional		$96.12	$178.21	$409.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $142.76 / $188.28 / $232.51	Professional		$142.76	$188.28	$232.51
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,503.12 / $2,866.57 / $3,259.49	Facility		$1,503.12	$2,866.57	$3,259.49
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.53 / $128.10 / $214.67	Professional		$73.53	$128.10	$214.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $139.85 / $273.99	Professional		$94.02	$139.85	$273.99