Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.43 / $53.43 / $79.61	Facility		$53.43	$53.43	$79.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.94 / $50.29 / $79.88	Professional		$42.94	$50.29	$79.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $75.65 / $134.94	Professional		$37.47	$75.65	$134.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.93 / $72.09 / $86.01	Professional		$52.93	$72.09	$86.01
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $857.74 / $886.06 / $1,886.41	Facility		$857.74	$886.06	$1,886.41
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $51.20 / $83.96	Professional		$39.01	$51.20	$83.96
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 $35.65 / $52.73 / $104.54	Professional		$35.65	$52.73	$104.54