Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.93 / $3,870.00 / $9,784.00	Facility		$73.93	$3,870.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.80 / $87.31 / $167.22	Professional		$55.80	$87.31	$167.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $138.22 / $369.76	Professional		$67.95	$138.22	$369.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $84.91 / $133.13 / $135.40	Professional		$84.91	$133.13	$135.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,358.71 / $1,358.71 / $1,683.65	Facility		$1,358.71	$1,358.71	$1,683.65
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $89.32 / $240.76	Professional		$48.03	$89.32	$240.76
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 $78.61 / $145.47 / $312.73	Professional		$78.61	$145.47	$312.73