Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.27 / $61.27 / $555.87	Facility		$61.27	$61.27	$555.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.27 / $86.38 / $124.65	Professional		$61.27	$86.38	$124.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.40 / $291.58 / $437.54	Facility		$95.40	$291.58	$437.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $65.14 / $140.01	Professional		$48.40	$65.14	$140.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $61.76 / $61.76 / $79.20	Professional		$61.76	$61.76	$79.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.53 / $4,306.72 / $13,785.00	Facility		$108.53	$4,306.72	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.03 / $209.89 / $211.70	Professional		$134.03	$209.89	$211.70
United Facility/Professional Facility Modifier Low / Median / High Price $345.51 / $1,575.74 / $3,435.49	Facility		$345.51	$1,575.74	$3,435.49
United Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $70.80 / $158.46	Professional		$41.84	$70.80	$158.46