Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.11 / $271.26 / $969.25	Facility		$139.11	$271.26	$969.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.11 / $160.96 / $215.03	Professional		$139.11	$160.96	$215.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.33 / $415.72 / $864.09	Facility		$184.33	$415.72	$864.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.05 / $227.20 / $520.03	Professional		$131.05	$227.20	$520.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $198.00 / $343.57	Professional		$132.00	$198.00	$343.57
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.00 / $8,702.00 / $13,785.00	Facility		$132.00	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $132.00 / $132.00	Professional		$132.00	$132.00	$132.00
United Facility/Professional Facility Modifier Low / Median / High Price $103.71 / $103.71 / $103.71	Facility		$103.71	$103.71	$103.71
United Facility/Professional Professional Modifier Low / Median / High Price $83.74 / $143.36 / $264.00	Professional		$83.74	$143.36	$264.00