Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.52 / $4,540.00 / $10,871.00	Facility		$79.52	$4,540.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $82.09 / $137.87	Professional		$74.33	$82.09	$137.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.97 / $117.54 / $227.88	Professional		$70.97	$117.54	$227.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.12 / $125.06 / $152.51	Professional		$88.12	$125.06	$152.51
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $96.01 / $157.22	Professional		$66.78	$96.01	$157.22
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 $59.11 / $90.14 / $180.49	Professional		$59.11	$90.14	$180.49