Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.37 / $4,550.16 / $9,284.00	Facility		$277.37	$4,550.16	$9,284.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,568.75 / $5,147.00 / $8,434.50	Facility	50	$2,568.75	$5,147.00	$8,434.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.13 / $355.46 / $561.34	Professional		$220.13	$355.46	$561.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.04 / $114.04 / $862.00	Professional	50	$114.04	$114.04	$862.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.39 / $378.38 / $824.61	Professional		$180.39	$378.38	$824.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $340.70 / $440.20 / $1,035.52	Professional		$340.70	$440.20	$1,035.52
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,577.22 / $5,462.69 / $11,519.32	Facility		$4,577.22	$5,462.69	$11,519.32
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.96 / $389.38 / $606.25	Professional		$182.96	$389.38	$606.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $7,250.00 / $10,536.00	Facility		$3,885.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $310.70 / $475.38 / $837.59	Professional		$310.70	$475.38	$837.59