Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.66 / $2,677.00 / $9,125.00	Facility		$100.66	$2,677.00	$9,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.66 / $153.66 / $256.49	Professional		$100.66	$153.66	$256.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.06 / $198.83 / $461.03	Professional		$112.06	$198.83	$461.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $193.43 / $262.20 / $346.82	Professional		$193.43	$262.20	$346.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,192.42 / $1,238.08 / $2,514.48	Facility		$1,192.42	$1,238.08	$2,514.48
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.08 / $174.88 / $300.22	Professional		$97.08	$174.88	$300.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,401.00 / $3,336.00 / $10,536.00	Facility		$1,401.00	$3,336.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.77 / $185.98 / $405.22	Professional		$123.77	$185.98	$405.22