Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.43 / $159.43 / $915.30	Facility		$159.43	$159.43	$915.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.10 / $166.19 / $235.09	Professional		$142.10	$166.19	$235.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $342.87 / $563.54 / $763.43	Facility		$342.87	$563.54	$763.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.31 / $206.10 / $401.29	Professional		$118.31	$206.10	$401.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $215.48 / $215.48 / $215.48	Professional		$215.48	$215.48	$215.48
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $788.38 / $976.93 / $1,863.09	Facility		$788.38	$976.93	$1,863.09
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.06 / $171.83 / $257.69	Professional		$146.06	$171.83	$257.69
United Facility/Professional Professional Modifier Low / Median / High Price $140.11 / $198.82 / $349.80	Professional		$140.11	$198.82	$349.80