Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $295.12 / $489.78	Facility		$117.49	$295.12	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $302.00	Professional		$81.28	$104.71	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $131.83	Professional		$104.71	$104.71	$131.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $20.42	Professional		$16.60	$16.60	$20.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $7,413.10 / $23,988.33	Facility		$134.90	$7,413.10	$23,988.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $51.29 / $104.71	Facility		$23.44	$51.29	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.79 / $16.22	Professional		$10.47	$14.79	$16.22