Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.53 / $478.83 / $2,067.04	Facility		$191.53	$478.83	$2,067.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.53 / $281.87 / $307.16	Professional		$191.53	$281.87	$307.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.24 / $457.14 / $1,219.34	Facility		$353.24	$457.14	$1,219.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $379.44 / $473.39 / $658.42	Professional		$379.44	$473.39	$658.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.96 / $252.96 / $8,702.00	Facility		$252.96	$252.96	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.96 / $252.96 / $252.96	Professional		$252.96	$252.96	$252.96
United Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $216.82 / $368.60	Professional		$151.78	$216.82	$368.60