Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.61 / $4,294.00 / $10,871.00	Facility		$120.61	$4,294.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.09 / $130.63 / $194.53	Professional		$102.09	$130.63	$194.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.16 / $153.83 / $375.12	Professional		$99.16	$153.83	$375.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.01 / $159.78 / $375.86	Professional		$120.01	$159.78	$375.86
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $726.77 / $1,289.86 / $1,385.98	Facility		$726.77	$1,289.86	$1,385.98
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.33 / $146.79 / $204.33	Professional		$100.33	$146.79	$204.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,141.00 / $3,236.00 / $7,273.00	Facility		$1,141.00	$3,236.00	$7,273.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.56 / $148.03 / $260.51	Professional		$100.56	$148.03	$260.51