Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.65 / $231.63 / $999.91	Facility		$92.65	$231.63	$999.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.65 / $136.35 / $166.07	Professional		$92.65	$136.35	$166.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.88 / $385.41 / $801.04	Facility		$170.88	$385.41	$801.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.14 / $174.56 / $355.31	Professional		$98.14	$174.56	$355.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $183.55 / $253.47	Professional		$122.37	$183.55	$253.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $178.31	Professional		$73.42	$104.89	$178.31