Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.72 / $139.72 / $743.58	Facility		$139.72	$139.72	$743.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.44 / $173.46 / $203.00	Professional		$138.44	$173.46	$203.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $406.25 / $590.86 / $880.33	Facility		$406.25	$590.86	$880.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $204.85 / $352.05	Professional		$107.35	$204.85	$352.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $241.04 / $241.04 / $241.04	Professional		$241.04	$241.04	$241.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $895.33 / $976.93 / $1,863.09	Facility		$895.33	$976.93	$1,863.09
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.46 / $197.01 / $255.47	Professional		$167.46	$197.01	$255.47
United Facility/Professional Professional Modifier Low / Median / High Price $126.29 / $211.74 / $394.77	Professional		$126.29	$211.74	$394.77