Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.41 / $4,540.00 / $10,871.00	Facility		$132.41	$4,540.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.54 / $123.98 / $193.56	Professional		$110.54	$123.98	$193.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $171.57 / $320.98	Professional		$97.44	$171.57	$320.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.22 / $170.51 / $208.46	Professional		$120.22	$170.51	$208.46
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.82 / $132.47 / $247.49	Professional		$90.82	$132.47	$247.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,627.00 / $6,590.00 / $10,536.00	Facility		$1,627.00	$6,590.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.35 / $127.79 / $269.17	Professional		$82.35	$127.79	$269.17