Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.31 / $4,294.00 / $9,842.00	Facility		$50.31	$4,294.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.94 / $56.23 / $65.55	Professional		$49.94	$56.23	$65.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $78.22 / $181.71	Professional		$43.45	$78.22	$181.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.07 / $171.10 / $275.02	Professional		$114.07	$171.10	$275.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,906.24 / $3,601.29 / $7,314.01	Facility		$2,906.24	$3,601.29	$7,314.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $67.06 / $120.96	Professional		$44.39	$67.06	$120.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $5,225.00 / $10,536.00	Facility		$3,204.00	$5,225.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $60.71 / $130.43	Professional		$37.79	$60.71	$130.43