Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.18 / $2,626.00 / $9,383.00	Facility		$86.18	$2,626.00	$9,383.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $122.65 / $122.65 / $2,887.65	Facility	50	$122.65	$122.65	$2,887.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $104.45 / $179.60	Professional		$82.07	$104.45	$179.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $162.19 / $439.07	Professional		$97.57	$162.19	$439.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $187.76 / $234.82	Professional		$132.16	$187.76	$234.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.15 / $579.15 / $1,368.67	Facility		$579.15	$579.15	$1,368.67
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.92 / $135.72 / $248.45	Professional		$88.92	$135.72	$248.45
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 $90.85 / $163.12 / $306.33	Professional		$90.85	$163.12	$306.33