Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.85 / $824.36 / $824.36	Facility		$247.85	$824.36	$824.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.12 / $291.44 / $988.51	Professional		$216.12	$291.44	$988.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $795.70 / $795.70 / $795.70	Professional		$795.70	$795.70	$795.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $185.05 / $219.03 / $561.83	Professional		$185.05	$219.03	$561.83
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,360.00 / $13,142.33 / $23,325.32	Facility		$2,360.00	$13,142.33	$23,325.32
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.41 / $166.68 / $294.08	Professional		$140.41	$166.68	$294.08
United Facility/Professional Facility Modifier Low / Median / High Price $6,887.28 / $7,709.64 / $11,925.93	Facility		$6,887.28	$7,709.64	$11,925.93
United Facility/Professional Professional Modifier Low / Median / High Price $120.96 / $217.80 / $488.26	Professional		$120.96	$217.80	$488.26