Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.96 / $4,667.00 / $10,202.00	Facility		$99.96	$4,667.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.77 / $87.43 / $136.41	Professional		$64.77	$87.43	$136.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.93 / $129.16 / $327.85	Professional		$72.93	$129.16	$327.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.97 / $122.25 / $144.25	Professional		$88.97	$122.25	$144.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,019.14 / $4,564.34 / $10,114.81	Facility		$4,019.14	$4,564.34	$10,114.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $85.29 / $162.97	Professional		$64.28	$85.29	$162.97
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.43 / $80.84 / $178.67	Professional		$61.43	$80.84	$178.67