Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.79 / $4,174.00 / $10,692.00	Facility		$105.79	$4,174.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.89 / $106.88 / $173.50	Professional		$81.89	$106.88	$173.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.97 / $158.49 / $348.97	Professional		$87.97	$158.49	$348.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $136.40 / $179.06 / $219.87	Professional		$136.40	$179.06	$219.87
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $492.93 / $569.48 / $1,127.66	Facility		$492.93	$569.48	$1,127.66
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $118.40 / $191.31	Professional		$69.83	$118.40	$191.31
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 $82.58 / $123.40 / $259.67	Professional		$82.58	$123.40	$259.67