Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.69 / $152.69 / $203.98	Facility		$106.69	$152.69	$203.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.11 / $139.81 / $203.98	Professional		$95.11	$139.81	$203.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $187.00 / $405.52	Professional		$110.15	$187.00	$405.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.41 / $221.65 / $269.00	Professional		$144.41	$221.65	$269.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $584.27 / $645.67 / $1,400.13	Facility		$584.27	$645.67	$1,400.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.14 / $167.14 / $330.17	Professional		$99.14	$167.14	$330.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.94 / $192.96 / $463.03	Professional		$133.94	$192.96	$463.03