Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.31 / $2,626.00 / $9,125.00	Facility		$74.31	$2,626.00	$9,125.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $582.66 / $1,591.92 / $3,430.11	Facility	50	$582.66	$1,591.92	$3,430.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $77.06 / $125.27	Professional		$53.31	$77.06	$125.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.92 / $141.24 / $630.17	Professional	50	$125.92	$141.24	$630.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $118.01 / $287.32	Professional		$65.41	$118.01	$287.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.64 / $118.58 / $120.60	Professional		$69.64	$118.58	$120.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.27 / $657.72 / $1,556.24	Facility		$598.27	$657.72	$1,556.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $81.03 / $206.28	Professional		$44.15	$81.03	$206.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,341.00 / $2,626.00 / $5,864.00	Facility		$1,341.00	$2,626.00	$5,864.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.74 / $118.76 / $257.57	Professional		$60.74	$118.76	$257.57