Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $257.04 / $1,148.15	Facility		$245.47	$257.04	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $257.04	Professional		$114.82	$154.88	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $426.58 / $891.25	Facility		$223.87	$426.58	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $354.81	Professional		$112.20	$190.55	$354.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $363.08	Professional		$134.90	$204.17	$363.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $10,471.29 / $25,703.96	Facility		$134.90	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $194.98	Professional		$154.88	$154.88	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $194.98 / $398.11	Facility		$91.20	$194.98	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $204.17	Professional		$77.62	$114.82	$204.17