Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.50 / $3,987.00 / $9,784.00	Facility		$129.50	$3,987.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.47 / $158.94 / $294.55	Professional		$120.47	$158.94	$294.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.54 / $280.86 / $602.84	Professional		$165.54	$280.86	$602.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $412.31	Professional		$150.00	$150.00	$412.31
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.21 / $151.50 / $274.94	Professional		$99.21	$151.50	$274.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,317.00 / $4,135.00 / $9,934.00	Facility		$1,317.00	$4,135.00	$9,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.56 / $250.95 / $415.77	Professional		$150.56	$250.95	$415.77