Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.98 / $291.17 / $1,412.38	Facility		$108.98	$291.17	$1,412.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.98 / $123.38 / $174.79	Professional		$108.98	$123.38	$174.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.35 / $427.27 / $887.65	Facility		$189.35	$427.27	$887.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.29 / $212.55 / $354.66	Professional		$120.29	$212.55	$354.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $114.29 / $148.15	Professional		$89.11	$114.29	$148.15
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $13,785.00 / $13,785.00	Facility		$1,165.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.50 / $164.50 / $164.50	Professional		$164.50	$164.50	$164.50
United Facility/Professional Professional Modifier Low / Median / High Price $86.42 / $116.23 / $210.77	Professional		$86.42	$116.23	$210.77