Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.94 / $85.94 / $882.13	Facility		$85.94	$85.94	$882.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.94 / $194.09 / $244.65	Professional		$85.94	$194.09	$244.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.31 / $127.64 / $270.22	Facility		$93.31	$127.64	$270.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $138.25 / $232.33	Professional		$77.48	$138.25	$232.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $109.11 / $138.71 / $407.09	Professional		$109.11	$138.71	$407.09
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $531.77 / $587.66 / $1,120.74	Facility		$531.77	$587.66	$1,120.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.40 / $111.28 / $187.84	Professional		$69.40	$111.28	$187.84
United Facility/Professional Professional Modifier Low / Median / High Price $87.02 / $262.60 / $487.06	Professional		$87.02	$262.60	$487.06