Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.30 / $94.30 / $151.90	Facility		$94.30	$94.30	$151.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.63 / $89.85 / $148.96	Professional		$74.63	$89.85	$148.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.26 / $145.16 / $294.27	Professional		$99.26	$145.16	$294.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.44 / $138.63 / $170.07	Professional		$110.44	$138.63	$170.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,238.19 / $7,444.95 / $14,742.01	Facility		$6,238.19	$7,444.95	$14,742.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $99.57 / $190.47	Professional		$75.42	$99.57	$190.47
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $110.68 / $195.54	Professional		$72.48	$110.68	$195.54