Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $190.55 / $851.14	Facility		$181.97	$190.55	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $141.25	Professional		$85.11	$114.82	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $316.23 / $660.69	Facility		$162.18	$316.23	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $309.03	Professional		$151.36	$190.55	$309.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $10,471.29 / $25,703.96	Facility		$134.90	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $144.54	Professional		$112.20	$138.04	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $141.25 / $295.12	Facility		$67.61	$141.25	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $158.49	Professional		$57.54	$85.11	$158.49