Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.69 / $4,667.00 / $10,202.00	Facility		$111.69	$4,667.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.08 / $110.73 / $180.08	Professional		$91.08	$110.73	$180.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.15 / $173.24 / $533.33	Professional		$105.15	$173.24	$533.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $135.61 / $169.85 / $207.17	Professional		$135.61	$169.85	$207.17
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,403.56 / $1,523.51 / $1,683.65	Facility		$1,403.56	$1,523.51	$1,683.65
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.03 / $117.66 / $215.90	Professional		$95.03	$117.66	$215.90
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 $98.74 / $130.59 / $344.35	Professional		$98.74	$130.59	$344.35