Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.59 / $186.59 / $946.94	Facility		$186.59	$186.59	$946.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $186.59 / $242.09	Professional		$144.66	$186.59	$242.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.93 / $319.50 / $633.29	Facility		$256.93	$319.50	$633.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.58 / $287.98 / $464.35	Professional		$148.58	$287.98	$464.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $185.71 / $293.39	Professional		$141.06	$185.71	$293.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.34 / $406.34 / $8,702.00	Facility		$406.34	$406.34	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.46 / $219.37 / $362.63	Professional		$186.46	$219.37	$362.63
United Facility/Professional Professional Modifier Low / Median / High Price $96.61 / $240.39 / $422.37	Professional		$96.61	$240.39	$422.37