Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.46 / $4,516.00 / $11,298.00	Facility		$53.46	$4,516.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.19 / $57.42 / $85.54	Professional		$49.19	$57.42	$85.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.63 / $70.73 / $134.09	Professional		$45.63	$70.73	$134.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $66.84 / $100.04	Professional		$48.20	$66.84	$100.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $961.78 / $1,062.86 / $2,027.02	Facility		$961.78	$1,062.86	$2,027.02
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.22 / $59.71 / $106.81	Professional		$41.22	$59.71	$106.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,308.00 / $2,626.00 / $5,864.00	Facility		$1,308.00	$2,626.00	$5,864.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.09 / $62.58 / $127.70	Professional		$45.09	$62.58	$127.70