Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,623.41 / $10,964.78	Facility		$100.00	$5,623.41	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $100.00	Professional		$5.01	$5.01	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $186.21	Professional		$154.88	$154.88	$186.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $165.96 / $245.47	Professional		$151.36	$165.96	$245.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $426.58 / $562.34	Facility		$218.78	$426.58	$562.34
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $208.93	Professional		$107.15	$125.89	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $134.90	Professional		$125.89	$125.89	$134.90