Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $489.78 / $954.99	Facility		$158.49	$489.78	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $104.71 / $354.81	Professional		$95.50	$104.71	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $275.42 / $562.34	Facility		$141.25	$275.42	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $144.54 / $251.19	Professional		$77.62	$144.54	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $199.53	Professional		$87.10	$141.25	$199.53
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $10,471.29 / $25,118.86	Facility		$123.03	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $123.03	Professional		$97.72	$97.72	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $123.03 / $251.19	Facility		$57.54	$123.03	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $169.82	Professional		$51.29	$74.13	$169.82