Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.30 / $118.28 / $153.38	Facility		$85.30	$118.28	$153.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $103.87 / $153.38	Professional		$75.79	$103.87	$153.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $148.41 / $315.86	Professional		$86.77	$148.41	$315.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.36 / $180.86 / $201.56	Professional		$110.36	$180.86	$201.56
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $591.75 / $645.67 / $1,311.35	Facility		$591.75	$645.67	$1,311.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.02 / $128.68 / $241.69	Professional		$80.02	$128.68	$241.69
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 $100.26 / $160.01 / $354.37	Professional		$100.26	$160.01	$354.37