Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.07 / $4,667.00 / $10,202.00	Facility		$113.07	$4,667.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $97.84 / $144.86	Professional		$77.23	$97.84	$144.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.99 / $156.66 / $514.46	Professional		$101.99	$156.66	$514.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $123.84 / $147.13	Professional		$90.40	$123.84	$147.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.19 / $717.67 / $1,556.24	Facility		$691.19	$717.67	$1,556.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $95.58 / $176.05	Professional		$75.56	$95.58	$176.05
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 $77.95 / $109.49 / $270.16	Professional		$77.95	$109.49	$270.16