Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.45 / $4,294.00 / $9,950.00	Facility		$75.45	$4,294.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.45 / $77.65 / $111.51	Professional		$62.45	$77.65	$111.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.42 / $94.94 / $227.46	Professional		$57.42	$94.94	$227.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.63 / $97.08 / $228.38	Professional		$72.63	$97.08	$228.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,267.87 / $2,267.87 / $2,354.71	Facility		$2,267.87	$2,267.87	$2,354.71
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.45 / $86.71 / $119.28	Professional		$57.45	$86.71	$119.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,425.00 / $5,265.00 / $10,536.00	Facility		$3,425.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $91.27 / $160.51	Professional		$67.14	$91.27	$160.51