Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.83 / $4,477.00 / $9,950.00	Facility		$92.83	$4,477.00	$9,950.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $46.42 / $46.42 / $51.13	Facility	52	$46.42	$46.42	$51.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.54 / $75.55 / $104.80	Professional		$58.54	$75.55	$104.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.52 / $121.84 / $303.33	Professional		$68.52	$121.84	$303.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $99.70 / $99.95	Professional		$74.95	$99.70	$99.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,958.61 / $1,958.61 / $4,127.87	Facility		$1,958.61	$1,958.61	$4,127.87
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.81 / $75.17 / $231.46	Professional		$48.81	$75.17	$231.46
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 $57.51 / $104.58 / $202.82	Professional		$57.51	$104.58	$202.82