Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.34 / $80.34 / $120.33	Facility		$80.34	$80.34	$120.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.72 / $75.65 / $122.54	Professional		$64.72	$75.65	$122.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.17 / $112.17 / $204.37	Professional		$56.17	$112.17	$204.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $80.54 / $109.39 / $130.63	Professional		$80.54	$109.39	$130.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $974.09 / $1,208.46 / $2,158.66	Facility		$974.09	$1,208.46	$2,158.66
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.48 / $74.98 / $127.62	Professional		$58.48	$74.98	$127.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $85.04 / $169.93	Professional		$58.10	$85.04	$169.93