Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $691.83 / $1,258.93	Facility		$501.19	$691.83	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $354.81	Professional		$128.82	$177.83	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $295.12 / $549.54	Facility		$275.42	$295.12	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $288.40 / $602.56	Professional		$141.25	$288.40	$602.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $338.84	Professional		$208.93	$245.47	$338.84
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $7,244.36 / $13,803.84	Facility		$389.05	$7,244.36	$13,803.84
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $446.68	Professional		$151.36	$177.83	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $4,677.35 / $7,079.46	Facility		$3,981.07	$4,677.35	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $512.86	Professional		$131.83	$234.42	$512.86