Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.29 / $110.34 / $154.88	Facility		$84.29	$110.34	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $98.08 / $159.36	Professional		$76.23	$98.08	$159.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.08 / $154.77 / $347.10	Professional		$95.08	$154.77	$347.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $111.35 / $179.60 / $203.77	Professional		$111.35	$179.60	$203.77
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.67 / $1,231.39 / $1,400.13	Facility		$645.67	$1,231.39	$1,400.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.10 / $132.66 / $250.24	Professional		$91.10	$132.66	$250.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $3,339.00 / $9,152.00	Facility		$1,200.00	$3,339.00	$9,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.46 / $160.61 / $357.79	Professional		$101.46	$160.61	$357.79