Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.60 / $61.60 / $61.60	Facility		$61.60	$61.60	$61.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $61.60 / $71.68	Professional		$52.12	$61.60	$71.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.23 / $362.03 / $362.03	Professional		$90.23	$362.03	$362.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $96.61 / $96.61 / $96.61	Professional		$96.61	$96.61	$96.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $317.11 / $380.40 / $675.13	Facility		$317.11	$380.40	$675.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.02 / $74.70 / $124.53	Professional		$59.02	$74.70	$124.53
United Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $73.06 / $132.57	Professional		$39.29	$73.06	$132.57