Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $3,763.00 / $9,784.00	Facility		$57.50	$3,763.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $110.87 / $149.32	Professional		$57.50	$110.87	$149.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.12 / $133.34 / $340.00	Professional		$59.12	$133.34	$340.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $113.86 / $191.88 / $235.94	Professional		$113.86	$191.88	$235.94
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,572.89 / $7,134.65 / $15,036.65	Facility		$6,572.89	$7,134.65	$15,036.65
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $121.01 / $212.48	Professional		$48.60	$121.01	$212.48
United Facility/Professional Facility Modifier Low / Median / High Price $5,378.00 / $8,305.00 / $14,121.00	Facility		$5,378.00	$8,305.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.64 / $130.43 / $258.74	Professional		$70.64	$130.43	$258.74