Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.71 / $229.28 / $989.73	Facility		$91.71	$229.28	$989.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.71 / $113.56 / $147.08	Professional		$91.71	$113.56	$147.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.13 / $255.40 / $545.26	Facility		$169.13	$255.40	$545.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.71 / $199.07 / $248.83	Professional		$91.71	$199.07	$248.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $95.17 / $138.41	Professional		$69.20	$95.17	$138.41
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.12 / $121.12 / $8,702.00	Facility		$121.12	$121.12	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.12 / $121.12 / $121.12	Professional		$121.12	$121.12	$121.12
United Facility/Professional Professional Modifier Low / Median / High Price $60.56 / $103.82 / $177.36	Professional		$60.56	$103.82	$177.36