Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $524.81 / $2,344.23	Facility		$218.78	$524.81	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $316.23 / $380.19	Professional		$89.13	$316.23	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $891.25 / $1,862.09	Facility		$467.74	$891.25	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
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 / $10,471.29 / $25,118.86	Facility		$151.36	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $416.87	Professional		$323.59	$389.05	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $407.38 / $831.76	Facility		$100.00	$407.38	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $245.47	Professional		$69.18	$100.00	$245.47