Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $177.73 / $767.22	Facility		$71.09	$177.73	$767.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $104.62 / $114.01	Professional		$71.09	$104.62	$114.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.11 / $198.32 / $422.55	Facility		$131.11	$198.32	$422.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $140.84 / $175.71 / $244.38	Professional		$140.84	$175.71	$244.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.89 / $93.89 / $8,702.00	Facility		$93.89	$93.89	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.89 / $93.89 / $93.89	Professional		$93.89	$93.89	$93.89
United Facility/Professional Professional Modifier Low / Median / High Price $55.66 / $80.48 / $136.81	Professional		$55.66	$80.48	$136.81