Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $602.56 / $2,454.71	Facility		$524.81	$602.56	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $331.13 / $467.74	Professional		$275.42	$331.13	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $912.01 / $1,862.09	Facility		$467.74	$912.01	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $891.25	Professional		$426.58	$549.54	$891.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $9,549.93 / $25,118.86	Facility		$151.36	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $416.87	Professional		$323.59	$398.11	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $407.38 / $831.76	Facility		$190.55	$407.38	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $489.78	Professional		$162.18	$245.47	$489.78