Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.86 / $287.14 / $848.91	Facility		$114.86	$287.14	$848.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.18 / $115.76 / $177.51	Professional		$110.18	$115.76	$177.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.07 / $326.95 / $680.07	Facility		$145.07	$326.95	$680.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.63 / $113.34 / $232.25	Professional		$81.63	$113.34	$232.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $68.27 / $87.56 / $148.41	Professional		$68.27	$87.56	$148.41
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.89 / $8,702.00 / $13,785.00	Facility		$103.89	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.89 / $103.89 / $134.81	Professional		$103.89	$103.89	$134.81
United Facility/Professional Facility Modifier Low / Median / High Price $133.57 / $133.57 / $178.09	Facility		$133.57	$133.57	$178.09
United Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $89.05 / $207.40	Professional		$51.94	$89.05	$207.40