Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.87 / $3,110.00 / $9,383.00	Facility		$89.87	$3,110.00	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $104.18 / $143.72	Professional		$74.92	$104.18	$143.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.07 / $157.00 / $385.36	Professional		$92.07	$157.00	$385.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.22 / $154.69 / $192.84	Professional		$112.22	$154.69	$192.84
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $124.30 / $241.79	Professional		$74.58	$124.30	$241.79
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 $94.74 / $162.36 / $301.86	Professional		$94.74	$162.36	$301.86