Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $153.90 / $181.10	Facility		$128.72	$153.90	$181.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $133.24 / $230.79	Professional		$105.76	$133.24	$230.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.64 / $186.12 / $413.49	Professional		$115.64	$186.12	$413.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $130.18 / $222.70 / $230.51	Professional		$130.18	$222.70	$230.51
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.58 / $319.80 / $831.86	Facility		$309.58	$319.80	$831.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $163.71 / $299.80	Professional		$108.13	$163.71	$299.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,395.00 / $2,626.00 / $5,864.00	Facility		$1,395.00	$2,626.00	$5,864.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.08 / $173.86 / $426.25	Professional		$120.08	$173.86	$426.25