Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,548.82 / $2,884.03	Facility		$512.86	$1,548.82	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $338.84 / $776.25	Professional		$295.12	$338.84	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $891.25 / $1,862.09	Facility		$467.74	$891.25	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $467.74 / $812.83	Professional		$251.19	$467.74	$812.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $758.58	Professional		$281.84	$457.09	$758.58
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $10,471.29 / $25,118.86	Facility		$151.36	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $398.11	Professional		$316.23	$316.23	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $398.11 / $831.76	Facility		$190.55	$398.11	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $549.54	Professional		$165.96	$239.88	$549.54