Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.65 / $151.63 / $654.54	Facility		$60.65	$151.63	$654.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $89.26 / $97.27	Professional		$60.65	$89.26	$97.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.85 / $251.89 / $524.36	Facility		$111.85	$251.89	$524.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.94 / $66.94 / $66.94	Professional		$66.94	$66.94	$66.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.15 / $149.90 / $208.49	Professional		$120.15	$149.90	$208.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $6,950.00 / $13,785.00	Facility		$1,165.00	$6,950.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $68.66 / $123.58	Professional		$44.30	$68.66	$123.58