Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.93 / $374.83 / $1,618.07	Facility		$149.93	$374.83	$1,618.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.93 / $220.65 / $240.45	Professional		$149.93	$220.65	$240.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.51 / $623.58 / $1,296.26	Facility		$276.51	$623.58	$1,296.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $297.02 / $370.57 / $515.41	Professional		$297.02	$370.57	$515.41
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $282.88 / $8,702.00	Facility		$282.88	$282.88	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.45 / $240.45 / $240.45	Professional		$240.45	$240.45	$240.45
United Facility/Professional Facility Modifier Low / Median / High Price $155.58 / $155.58 / $353.60	Facility		$155.58	$155.58	$353.60
United Facility/Professional Professional Modifier Low / Median / High Price $113.15 / $169.73 / $288.54	Professional		$113.15	$169.73	$288.54