Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.52 / $59.51 / $301.70	Facility		$30.52	$59.51	$301.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $52.85 / $70.72	Professional		$30.52	$52.85	$70.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.93 / $158.06 / $241.88	Facility		$105.93	$158.06	$241.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $44.99 / $120.12	Professional		$28.16	$44.99	$120.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.35 / $51.98 / $106.53	Professional		$41.35	$51.98	$106.53
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.61 / $416.61 / $13,785.00	Facility		$61.61	$416.61	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $100.77 / $235.83	Professional		$77.84	$100.77	$235.83
United Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $41.09 / $71.13	Professional		$22.28	$41.09	$71.13