Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.15 / $208.98 / $960.00	Facility		$162.15	$208.98	$960.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $144.41 / $162.15	Professional		$77.84	$144.41	$162.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.08 / $374.58 / $778.54	Facility		$166.08	$374.58	$778.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $152.86 / $264.66	Professional		$76.06	$152.86	$264.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.93 / $178.40 / $246.36	Professional		$118.93	$178.40	$246.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.93 / $8,702.00 / $13,785.00	Facility		$118.93	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.93 / $118.93 / $118.93	Professional		$118.93	$118.93	$118.93
United Facility/Professional Facility Modifier Low / Median / High Price $93.45 / $93.45 / $170.00	Facility		$93.45	$93.45	$170.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.52 / $101.94 / $141.36	Professional		$64.52	$101.94	$141.36