Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.16 / $5,982.00 / $11,298.00	Facility		$297.16	$5,982.00	$11,298.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $101.85 / $151.51 / $374.02	Facility	52	$101.85	$151.51	$374.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.34 / $526.14 / $694.55	Professional		$175.34	$526.14	$694.55
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $87.67 / $248.07 / $347.28	Professional	52	$87.67	$248.07	$347.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.13 / $512.07 / $1,539.47	Professional		$186.13	$512.07	$1,539.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $324.75 / $915.20 / $1,057.88	Professional		$324.75	$915.20	$1,057.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,924.40 / $8,700.32 / $16,593.68	Facility		$6,924.40	$8,700.32	$16,593.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.62 / $577.53 / $955.28	Professional		$147.62	$577.53	$955.28
United Facility/Professional Facility Modifier Low / Median / High Price $5,378.00 / $8,305.00 / $14,121.00	Facility		$5,378.00	$8,305.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $528.19 / $758.12 / $1,768.80	Professional		$528.19	$758.12	$1,768.80