Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.22 / $3,827.00 / $9,784.00	Facility		$97.22	$3,827.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $105.08 / $166.85	Professional		$74.56	$105.08	$166.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.87 / $142.51 / $341.19	Professional		$80.87	$142.51	$341.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.90 / $150.69 / $198.60	Professional		$107.90	$150.69	$198.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,032.11 / $1,238.08 / $2,514.48	Facility		$1,032.11	$1,238.08	$2,514.48
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.64 / $127.64 / $211.31	Professional		$76.64	$127.64	$211.31
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 $71.34 / $126.72 / $270.89	Professional		$71.34	$126.72	$270.89