Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.89 / $3,057.00 / $9,125.00	Facility		$99.89	$3,057.00	$9,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $194.76 / $303.05	Professional		$75.64	$194.76	$303.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $229.16 / $539.01	Professional		$85.60	$229.16	$539.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.40 / $341.25 / $373.20	Professional		$110.40	$341.25	$373.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,788.75 / $1,847.80 / $4,227.18	Facility		$1,788.75	$1,847.80	$4,227.18
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $201.99 / $373.98	Professional		$67.63	$201.99	$373.98
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 $159.51 / $248.46 / $577.22	Professional		$159.51	$248.46	$577.22