Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.81 / $4,294.00 / $9,860.00	Facility		$66.81	$4,294.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $69.98 / $106.51	Professional		$50.80	$69.98	$106.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.02 / $110.96 / $255.00	Professional		$55.02	$110.96	$255.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $130.33 / $160.02	Professional		$98.04	$130.33	$160.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.22 / $356.30 / $679.56	Facility		$287.22	$356.30	$679.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.38 / $79.15 / $138.21	Professional		$43.38	$79.15	$138.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $90.04 / $188.71	Professional		$63.42	$90.04	$188.71