Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $363.08 / $1,659.59	Facility		$323.59	$363.08	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $275.42	Professional		$147.91	$218.78	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $602.56 / $1,258.93	Facility		$316.23	$602.56	$1,258.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $602.56	Professional		$288.40	$371.54	$602.56
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $10,471.29 / $25,703.96	Facility		$134.90	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $275.42	Professional		$218.78	$218.78	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $275.42 / $562.34	Facility		$128.82	$275.42	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $275.42	Professional		$104.71	$147.91	$275.42