Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.88 / $285.89 / $859.25	Facility		$285.88	$285.89	$859.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.68 / $186.43 / $330.51	Professional		$138.68	$186.43	$330.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $348.09 / $544.29	Facility		$277.02	$348.09	$544.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.29 / $288.62 / $631.94	Professional		$131.29	$288.62	$631.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $201.52 / $239.30 / $572.73	Professional		$201.52	$239.30	$572.73
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,924.40 / $7,652.20 / $16,593.68	Facility		$6,924.40	$7,652.20	$16,593.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.19 / $171.99 / $299.74	Professional		$146.19	$171.99	$299.74
United Facility/Professional Facility Modifier Low / Median / High Price $6,071.27 / $10,977.71 / $13,236.79	Facility		$6,071.27	$10,977.71	$13,236.79
United Facility/Professional Professional Modifier Low / Median / High Price $136.90 / $237.83 / $483.55	Professional		$136.90	$237.83	$483.55