Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.43 / $107.43 / $341.87	Facility		$107.43	$107.43	$341.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $69.61 / $107.43	Professional		$56.71	$69.61	$107.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.26 / $149.86 / $245.64	Facility		$119.26	$149.86	$245.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.76 / $108.71 / $196.69	Professional		$53.76	$108.71	$196.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $96.44 / $170.48	Professional		$81.06	$96.44	$170.48
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $474.24 / $587.66 / $1,120.74	Facility		$474.24	$587.66	$1,120.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.17 / $74.84 / $154.28	Professional		$61.17	$74.84	$154.28
United Facility/Professional Facility Modifier Low / Median / High Price $312.92 / $373.55 / $575.33	Facility		$312.92	$373.55	$575.33
United Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $95.85 / $161.22	Professional		$54.00	$95.85	$161.22