Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.73 / $2,705.50 / $9,284.00	Facility		$80.73	$2,705.50	$9,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $112.20 / $183.56	Professional		$57.74	$112.20	$183.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.78 / $141.61 / $364.63	Professional		$71.78	$141.61	$364.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.26 / $207.39 / $213.56	Professional		$123.26	$207.39	$213.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.83 / $125.55 / $255.20	Professional		$52.83	$125.55	$255.20
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 $78.58 / $155.10 / $310.11	Professional		$78.58	$155.10	$310.11