Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $288.40 / $933.25	Facility		$190.55	$288.40	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $275.42	Professional		$112.20	$125.89	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $331.13 / $691.83	Facility		$173.78	$331.13	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $363.08	Professional		$109.65	$173.78	$363.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $288.40	Professional		$104.71	$169.82	$288.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $10,471.29 / $25,118.86	Facility		$138.04	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $151.36	Professional		$120.23	$120.23	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $151.36 / $309.03	Facility		$70.79	$151.36	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $114.82 / $218.78	Professional		$66.07	$114.82	$218.78