Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.30 / $4,294.00 / $10,202.00	Facility		$193.30	$4,294.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.36 / $180.98 / $300.64	Professional		$157.36	$180.98	$300.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.72 / $275.61 / $650.58	Professional		$177.72	$275.61	$650.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.81 / $270.83 / $275.38	Professional		$204.81	$270.83	$275.38
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $221.58 / $463.01	Professional		$161.82	$221.58	$463.01
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 $139.34 / $239.51 / $525.88	Professional		$139.34	$239.51	$525.88