Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.05 / $285.05 / $285.05	Facility		$285.05	$285.05	$285.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.48 / $240.46 / $285.05	Professional		$209.48	$240.46	$285.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.31 / $303.31 / $493.49	Professional		$303.31	$303.31	$493.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $449.11 / $449.11 / $449.11	Professional		$449.11	$449.11	$449.11
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,645.88 / $3,173.87 / $6,882.52	Facility		$2,645.88	$3,173.87	$6,882.52
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.95 / $256.39 / $402.25	Professional		$199.95	$256.39	$402.25
United Facility/Professional Professional Modifier Low / Median / High Price $219.03 / $296.61 / $500.01	Professional		$219.03	$296.61	$500.01