Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.53 / $4,294.00 / $9,860.00	Facility		$108.53	$4,294.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.25 / $110.97 / $183.15	Professional		$101.25	$110.97	$183.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.06 / $152.75 / $296.69	Professional		$87.06	$152.75	$296.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $131.63 / $177.59	Professional		$30.00	$131.63	$177.59
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.01 / $2,279.40 / $4,629.32	Facility		$2,089.01	$2,279.40	$4,629.32
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.52 / $125.55 / $210.05	Professional		$87.52	$125.55	$210.05
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 $75.53 / $113.53 / $251.10	Professional		$75.53	$113.53	$251.10