Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $177.83 / $851.14	Facility		$128.82	$177.83	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $190.55	Professional		$95.50	$114.82	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $302.00 / $616.60	Facility		$131.83	$302.00	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $194.98	Professional		$89.13	$120.23	$194.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $154.88	Professional		$54.95	$67.61	$154.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $10,471.29 / $25,118.86	Facility		$134.90	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $125.89	Professional		$63.10	$77.62	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $134.90 / $281.84	Facility		$64.57	$134.90	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $81.28 / $134.90	Professional		$52.48	$81.28	$134.90