Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.70 / $4,294.00 / $10,871.00	Facility		$79.70	$4,294.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.26 / $122.57 / $163.55	Professional		$59.26	$122.57	$163.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $165.81 / $423.43	Professional		$67.55	$165.81	$423.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $121.03 / $215.93 / $265.02	Professional		$121.03	$215.93	$265.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,002.18 / $3,601.29 / $6,868.01	Facility		$3,002.18	$3,601.29	$6,868.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $133.36 / $229.23	Professional		$50.12	$133.36	$229.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.28 / $144.36 / $313.45	Professional		$77.28	$144.36	$313.45