Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $104.71 / $478.63	Facility		$100.00	$104.71	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $63.10 / $79.43	Professional		$46.77	$63.10	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $173.78 / $363.08	Facility		$91.20	$173.78	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $169.82	Professional		$83.18	$102.33	$169.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $10,715.19 / $25,703.96	Facility		$134.90	$10,715.19	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $47.86 / $83.18	Professional		$31.62	$47.86	$83.18