Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.52 / $147.60 / $489.75	Facility		$125.52	$147.60	$489.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.94 / $59.70 / $144.47	Professional		$46.94	$59.70	$144.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.08 / $156.30 / $202.34	Facility		$97.08	$156.30	$202.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.39 / $101.52 / $273.95	Professional		$43.39	$101.52	$273.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.02 / $77.05 / $242.45	Professional		$67.02	$77.05	$242.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $723.82 / $868.25 / $1,655.85	Facility		$723.82	$868.25	$1,655.85
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.28 / $58.17 / $147.72	Professional		$48.28	$58.17	$147.72
United Facility/Professional Professional Modifier Low / Median / High Price $45.72 / $80.69 / $197.58	Professional		$45.72	$80.69	$197.58