Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.89 / $4,540.00 / $10,871.00	Facility		$207.89	$4,540.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.40 / $220.19 / $355.91	Professional		$198.40	$220.19	$355.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.66 / $309.87 / $670.68	Professional		$175.66	$309.87	$670.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $214.92 / $314.12 / $385.89	Professional		$214.92	$314.12	$385.89
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.22 / $248.38 / $442.51	Professional		$169.22	$248.38	$442.51
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 $153.57 / $233.77 / $484.19	Professional		$153.57	$233.77	$484.19