Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.43 / $4,128.00 / $9,842.00	Facility		$166.43	$4,128.00	$9,842.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $943.88 / $1,236.00 / $7,611.27	Facility	50	$943.88	$1,236.00	$7,611.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.02 / $182.55 / $327.83	Professional		$119.02	$182.55	$327.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.60 / $263.58 / $604.17	Professional		$127.60	$263.58	$604.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $232.65 / $305.32 / $374.85	Professional		$232.65	$305.32	$374.85
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,238.08 / $2,197.37 / $2,684.77	Facility		$1,238.08	$2,197.37	$2,684.77
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.56 / $196.55 / $337.37	Professional		$105.56	$196.55	$337.37
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 $113.15 / $222.36 / $451.19	Professional		$113.15	$222.36	$451.19