Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $26.92 / $44.67	Professional		$12.88	$26.92	$44.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38,018.94 / $38,018.94 / $38,018.94	Professional		$38,018.94	$38,018.94	$38,018.94
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $158.49	Facility		$63.10	$100.00	$158.49
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $57.54	Professional		$48.98	$48.98	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $125.89 / $151.36	Facility		$69.18	$125.89	$151.36