Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.64 / $65.64 / $408.50	Facility		$65.64	$65.64	$408.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.14 / $70.42 / $99.27	Professional		$60.14	$70.42	$99.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.07 / $225.18 / $541.54	Facility		$151.07	$225.18	$541.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $91.65 / $183.86	Professional		$50.20	$91.65	$183.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.93 / $97.93 / $97.93	Professional		$97.93	$97.93	$97.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,561.33 / $3,173.87 / $6,052.90	Facility		$2,561.33	$3,173.87	$6,052.90
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $69.89 / $104.81	Professional		$59.41	$69.89	$104.81
United Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $82.78 / $142.18	Professional		$59.28	$82.78	$142.18