Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.65 / $151.63 / $654.54	Facility		$60.65	$151.63	$654.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $75.09 / $97.27	Professional		$60.65	$75.09	$97.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.85 / $168.82 / $360.66	Facility		$111.85	$168.82	$360.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $131.75 / $164.68	Professional		$60.65	$131.75	$164.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $62.94 / $91.54	Professional		$45.77	$62.94	$91.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $80.09 / $8,702.00	Facility		$80.09	$80.09	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $80.09 / $80.09	Professional		$80.09	$80.09	$80.09
United Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $68.66 / $117.29	Professional		$44.30	$68.66	$117.29