Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $313.70 / $1,458.89	Facility		$200.00	$313.70	$1,458.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.84 / $200.00 / $216.79	Professional		$141.84	$200.00	$216.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.31 / $562.24 / $1,168.73	Facility		$249.31	$562.24	$1,168.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.19 / $272.52 / $533.70	Professional		$149.19	$272.52	$533.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $178.54 / $267.80 / $369.82	Professional		$178.54	$267.80	$369.82
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 $101.79 / $153.03 / $260.26	Professional		$101.79	$153.03	$260.26