Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.39 / $119.39 / $645.92	Facility		$119.39	$119.39	$645.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $146.25 / $190.85	Professional		$119.20	$146.25	$190.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.37 / $342.26 / $546.78	Facility		$272.37	$342.26	$546.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.86 / $189.68 / $326.80	Professional		$119.86	$189.68	$326.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $168.98 / $211.65 / $308.17	Professional		$168.98	$211.65	$308.17
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,601.25 / $1,920.79 / $3,663.14	Facility		$1,601.25	$1,920.79	$3,663.14
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.30 / $149.18 / $190.72	Professional		$119.30	$149.18	$190.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,021.23 / $1,021.23 / $1,021.23	Facility		$1,021.23	$1,021.23	$1,021.23
United Facility/Professional Professional Modifier Low / Median / High Price $106.62 / $165.60 / $290.31	Professional		$106.62	$165.60	$290.31