Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.17 / $4,667.00 / $10,202.00	Facility		$166.17	$4,667.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.21 / $139.09 / $218.51	Professional		$118.21	$139.09	$218.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.19 / $203.43 / $414.00	Professional		$116.19	$203.43	$414.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.82 / $192.50 / $229.44	Professional		$141.82	$192.50	$229.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.82 / $3,939.13 / $8,541.95	Facility		$3,283.82	$3,939.13	$8,541.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.14 / $136.97 / $271.77	Professional		$102.14	$136.97	$271.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.82 / $146.22 / $283.91	Professional		$89.82	$146.22	$283.91