Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.51 / $103.84 / $6,862.50	Facility		$80.51	$103.84	$6,862.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $80.51 / $142.93	Professional		$75.08	$80.51	$142.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.58 / $342.17 / $411.98	Professional		$285.58	$342.17	$411.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.46 / $125.87 / $148.59	Professional		$90.46	$125.87	$148.59
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,216.23 / $3,606.36 / $8,642.31	Facility		$3,216.23	$3,606.36	$8,642.31
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.75 / $94.07 / $184.04	Professional		$79.75	$94.07	$184.04
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 $59.35 / $98.21 / $184.02	Professional		$59.35	$98.21	$184.02