Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.36 / $161.36 / $900.67	Facility		$161.36	$161.36	$900.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.36 / $203.10 / $279.43	Professional		$161.36	$203.10	$279.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.85 / $288.06 / $407.80	Facility		$249.85	$288.06	$407.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.53 / $198.56 / $487.37	Professional		$128.53	$198.56	$487.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $170.39 / $267.54 / $408.75	Professional		$170.39	$267.54	$408.75
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,820.17 / $3,787.58 / $13,785.00	Facility		$1,820.17	$3,787.58	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.59 / $185.16 / $346.08	Professional		$150.59	$185.16	$346.08
United Facility/Professional Facility Modifier Low / Median / High Price $364.96 / $656.15 / $1,346.79	Facility		$364.96	$656.15	$1,346.79
United Facility/Professional Professional Modifier Low / Median / High Price $110.62 / $182.67 / $330.65	Professional		$110.62	$182.67	$330.65