Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.47 / $3,057.00 / $9,784.00	Facility		$163.47	$3,057.00	$9,784.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,957.02 / $9,957.02 / $9,957.02	Facility	50	$9,957.02	$9,957.02	$9,957.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.61 / $332.97 / $480.82	Professional		$135.61	$332.97	$480.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.75 / $373.68 / $1,019.40	Professional		$163.75	$373.68	$1,019.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $437.35 / $594.67 / $615.77	Professional		$437.35	$594.67	$615.77
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,747.57 / $8,426.10 / $9,054.09	Facility		$4,747.57	$8,426.10	$9,054.09
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.31 / $409.46 / $794.84	Professional		$122.31	$409.46	$794.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $326.95 / $527.41 / $1,181.72	Professional		$326.95	$527.41	$1,181.72