Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.57 / $3,259.00 / $9,383.00	Facility		$94.57	$3,259.00	$9,383.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,477.00 / $4,477.00 / $8,116.50	Facility	50	$4,477.00	$4,477.00	$8,116.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.53 / $106.48 / $167.99	Professional		$54.53	$106.48	$167.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.44 / $154.99 / $414.70	Professional		$76.44	$154.99	$414.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $101.21 / $169.59 / $174.58	Professional		$101.21	$169.59	$174.58
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 $50.60 / $115.63 / $264.36	Professional		$50.60	$115.63	$264.36
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 $90.35 / $157.38 / $314.39	Professional		$90.35	$157.38	$314.39