Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $416.87 / $660.69	Facility		$131.83	$416.87	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $380.19	Professional		$72.44	$91.20	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $91.20 / $100.00	Facility		$77.62	$91.20	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $134.90 / $234.42	Professional		$67.61	$134.90	$234.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $165.96	Professional		$102.33	$123.03	$165.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $562.34 / $10,471.29	Facility		$33.11	$562.34	$10,471.29
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $208.93	Professional		$85.11	$102.33	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $89.13 / $169.82	Professional		$35.48	$89.13	$169.82