Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.11 / $116.11 / $648.03	Facility		$116.11	$116.11	$648.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.44 / $103.88 / $133.99	Professional		$70.44	$103.88	$133.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.30 / $307.93 / $459.72	Facility		$205.30	$307.93	$459.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.95 / $145.33 / $233.35	Professional		$84.95	$145.33	$233.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $143.15 / $143.15 / $143.15	Professional		$143.15	$143.15	$143.15
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.57 / $884.01 / $1,863.09	Facility		$173.57	$884.01	$1,863.09
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.86 / $103.36 / $155.01	Professional		$87.86	$103.36	$155.01
United Facility/Professional Professional Modifier Low / Median / High Price $96.73 / $136.27 / $225.69	Professional		$96.73	$136.27	$225.69