Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.24 / $315.26 / $1,350.38	Facility		$139.24	$315.26	$1,350.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.24 / $204.92 / $223.31	Professional		$139.24	$204.92	$223.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.81 / $332.34 / $885.79	Facility		$256.81	$332.34	$885.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.86 / $344.16 / $478.68	Professional		$275.86	$344.16	$478.68
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.90 / $183.90 / $8,702.00	Facility		$183.90	$183.90	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.90 / $183.90 / $183.90	Professional		$183.90	$183.90	$183.90
United Facility/Professional Professional Modifier Low / Median / High Price $109.03 / $157.63 / $267.97	Professional		$109.03	$157.63	$267.97