Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $3,996.00 / $9,784.00	Facility		$64.67	$3,996.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $88.56 / $141.88	Professional		$59.40	$88.56	$141.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $122.71 / $264.73	Professional		$67.98	$122.71	$264.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $119.69 / $156.83 / $191.85	Professional		$119.69	$156.83	$191.85
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,116.94 / $2,116.94 / $3,757.21	Facility		$2,116.94	$2,116.94	$3,757.21
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.29 / $94.09 / $162.55	Professional		$53.29	$94.09	$162.55
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 $91.08 / $130.40 / $222.31	Professional		$91.08	$130.40	$222.31