Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.57 / $5,647.00 / $10,692.00	Facility		$106.57	$5,647.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.28 / $113.40 / $169.59	Professional		$80.28	$113.40	$169.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.71 / $166.33 / $349.33	Professional		$87.71	$166.33	$349.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $180.63 / $222.09	Professional		$137.40	$180.63	$222.09
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,547.88 / $1,710.56 / $3,262.23	Facility		$1,547.88	$1,710.56	$3,262.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.17 / $119.58 / $200.20	Professional		$69.17	$119.58	$200.20
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 $87.94 / $132.04 / $274.23	Professional		$87.94	$132.04	$274.23