Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.03 / $1,715.00 / $6,986.00	Facility		$45.03	$1,715.00	$6,986.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $18.32 / $31.50 / $212.44	Facility	52	$18.32	$31.50	$212.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $186.49 / $267.69	Professional		$35.07	$186.49	$267.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $214.43 / $553.61	Professional		$40.65	$214.43	$553.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.67 / $311.33 / $410.17	Professional		$229.67	$311.33	$410.17
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $477.18 / $535.04 / $591.29	Facility		$477.18	$535.04	$591.29
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $209.91 / $394.14	Professional		$33.27	$209.91	$394.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,141.00 / $2,607.00 / $5,864.00	Facility		$1,141.00	$2,607.00	$5,864.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.32 / $259.95 / $563.92	Professional		$163.32	$259.95	$563.92