Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.66 / $5,982.00 / $10,692.00	Facility		$191.66	$5,982.00	$10,692.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,091.98 / $4,588.50 / $6,203.00	Facility	50	$2,091.98	$4,588.50	$6,203.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $149.35 / $252.82	Professional		$129.33	$149.35	$252.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.49 / $238.66 / $501.14	Professional		$113.49	$238.66	$501.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $176.14 / $241.66 / $283.62	Professional		$176.14	$241.66	$283.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,134.65 / $7,884.56 / $15,036.65	Facility		$7,134.65	$7,884.56	$15,036.65
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.46 / $169.32 / $308.70	Professional		$119.46	$169.32	$308.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $6,118.00 / $10,536.00	Facility		$3,885.00	$6,118.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.42 / $139.22 / $291.94	Professional		$84.42	$139.22	$291.94