Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $2,626.00 / $10,692.00	Facility		$58.28	$2,626.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $80.26 / $107.88	Professional		$52.85	$80.26	$107.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $114.56 / $238.74	Professional		$60.29	$114.56	$238.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $138.51 / $169.47	Professional		$104.98	$138.51	$169.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.09 / $556.08 / $1,060.57	Facility		$489.09	$556.08	$1,060.57
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $87.23 / $150.63	Professional		$47.46	$87.23	$150.63
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 $83.06 / $117.10 / $206.10	Professional		$83.06	$117.10	$206.10