Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.70 / $4,294.00 / $9,950.00	Facility		$63.70	$4,294.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $113.60 / $171.06	Professional		$47.72	$113.60	$171.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.45 / $40.45 / $48.47	Facility		$40.45	$40.45	$48.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $113.73 / $273.18	Professional		$47.86	$113.73	$273.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $146.03 / $201.22 / $354.91	Professional		$146.03	$201.22	$354.91
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $107.45 / $202.62	Professional		$41.55	$107.45	$202.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $3,352.00 / $10,536.00	Facility		$1,516.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.21 / $143.21 / $354.42	Professional		$101.21	$143.21	$354.42