Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.93 / $4,667.00 / $10,202.00	Facility		$89.93	$4,667.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.25 / $72.18 / $114.19	Professional		$52.25	$72.18	$114.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.65 / $110.65 / $272.25	Professional		$63.65	$110.65	$272.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $107.63 / $127.77	Professional		$79.25	$107.63	$127.77
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,019.14 / $4,019.14 / $9,498.02	Facility		$4,019.14	$4,019.14	$9,498.02
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.48 / $75.56 / $124.71	Professional		$55.48	$75.56	$124.71
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.44 / $76.98 / $154.22	Professional		$51.44	$76.98	$154.22