Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.88 / $4,294.00 / $9,860.00	Facility		$55.88	$4,294.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $111.78 / $155.03	Professional		$42.51	$111.78	$155.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.75 / $117.97 / $347.02	Professional		$46.75	$117.97	$347.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $183.41 / $212.68	Professional		$83.70	$183.41	$212.68
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,637.42 / $4,294.01 / $8,189.76	Facility		$3,637.42	$4,294.01	$8,189.76
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $111.77 / $209.86	Professional		$35.70	$111.77	$209.86
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 $106.45 / $148.52 / $379.66	Professional		$106.45	$148.52	$379.66