Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $4,294.00 / $10,871.00	Facility		$49.00	$4,294.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $60.93 / $93.18	Professional		$38.46	$60.93	$93.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $91.02 / $201.81	Professional		$41.34	$91.02	$201.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $73.41 / $112.59 / $138.53	Professional		$73.41	$112.59	$138.53
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.39 / $356.30 / $679.56	Facility		$313.39	$356.30	$679.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $68.77 / $115.82	Professional		$33.02	$68.77	$115.82
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 $55.34 / $78.05 / $162.50	Professional		$55.34	$78.05	$162.50