Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.99 / $4,118.00 / $9,950.00	Facility		$98.99	$4,118.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.99 / $127.55 / $228.69	Professional		$98.99	$127.55	$228.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.24 / $192.56 / $453.91	Professional		$112.24	$192.56	$453.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.38 / $222.57 / $273.72	Professional		$169.38	$222.57	$273.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.71 / $442.74 / $857.38	Facility		$402.71	$442.74	$857.38
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.18 / $149.59 / $241.70	Professional		$91.18	$149.59	$241.70
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 $82.70 / $149.15 / $328.49	Professional		$82.70	$149.15	$328.49