Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.16 / $5,109.00 / $9,860.00	Facility		$111.16	$5,109.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.75 / $117.85 / $176.48	Professional		$93.75	$117.85	$176.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.69 / $144.62 / $347.06	Professional		$89.69	$144.62	$347.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $106.73 / $143.44 / $337.43	Professional		$106.73	$143.44	$337.43
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,962.99 / $2,354.71 / $5,106.17	Facility		$1,962.99	$2,354.71	$5,106.17
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.57 / $134.88 / $182.94	Professional		$90.57	$134.88	$182.94
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 $99.00 / $137.37 / $290.20	Professional		$99.00	$137.37	$290.20