Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.65 / $176.24 / $638.58	Facility		$116.65	$176.24	$638.58
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $832.36 / $832.36 / $832.36	Facility	50	$832.36	$832.36	$832.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.13 / $121.70 / $197.02	Professional		$94.13	$121.70	$197.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.73 / $172.81 / $372.22	Professional		$106.73	$172.81	$372.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.48 / $199.53 / $203.64	Professional		$114.48	$199.53	$203.64
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $591.75 / $734.11 / $1,311.35	Facility		$591.75	$734.11	$1,311.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $146.94 / $278.08	Professional		$97.30	$146.94	$278.08
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 $107.98 / $153.00 / $374.46	Professional		$107.98	$153.00	$374.46