Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.52 / $4,134.00 / $9,842.00	Facility		$177.52	$4,134.00	$9,842.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,229.50 / $9,229.50 / $9,229.50	Facility	50	$9,229.50	$9,229.50	$9,229.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.94 / $182.86 / $253.04	Professional		$128.94	$182.86	$253.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $324.68 / $324.68 / $1,436.89	Professional	50	$324.68	$324.68	$1,436.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.45 / $226.42 / $546.35	Professional		$105.45	$226.42	$546.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.31 / $190.89 / $449.05	Professional		$144.31	$190.89	$449.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $586.50 / $699.94 / $1,385.98	Facility		$586.50	$699.94	$1,385.98
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.19 / $174.22 / $322.27	Professional		$105.19	$174.22	$322.27
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 $131.61 / $203.08 / $387.71	Professional		$131.61	$203.08	$387.71