Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $102.67 / $113.56	Facility		$80.09	$102.67	$113.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $88.21 / $124.38	Professional		$67.31	$88.21	$124.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $128.06 / $275.20	Professional		$80.42	$128.06	$275.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $96.78 / $147.32 / $173.77	Professional		$96.78	$147.32	$173.77
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $584.27 / $584.27 / $645.67	Facility		$584.27	$584.27	$645.67
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $112.73 / $202.22	Professional		$74.59	$112.73	$202.22
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 $87.17 / $129.91 / $318.50	Professional		$87.17	$129.91	$318.50