Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.46 / $183.46 / $971.55	Facility		$183.46	$183.46	$971.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.85 / $183.46 / $252.62	Professional		$150.85	$183.46	$252.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $349.46 / $594.67 / $884.18	Facility		$349.46	$594.67	$884.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.30 / $232.28 / $424.51	Professional		$142.30	$232.28	$424.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $236.23 / $236.23 / $236.23	Professional		$236.23	$236.23	$236.23
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $940.89 / $976.93 / $1,863.09	Facility		$940.89	$976.93	$1,863.09
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.93 / $217.56 / $291.77	Professional		$184.93	$217.56	$291.77
United Facility/Professional Professional Modifier Low / Median / High Price $163.51 / $247.71 / $425.14	Professional		$163.51	$247.71	$425.14