Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.33 / $99.33 / $99.33	Facility		$99.33	$99.33	$99.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.33 / $127.08 / $224.09	Professional		$99.33	$127.08	$224.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.58 / $231.93 / $279.25	Professional		$193.58	$231.93	$279.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $86.32 / $95.75 / $106.56	Professional		$86.32	$95.75	$106.56
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $672.26 / $776.67 / $1,748.69	Facility		$672.26	$776.67	$1,748.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $57.76 / $155.44	Professional		$45.62	$57.76	$155.44
United Facility/Professional Professional Modifier Low / Median / High Price $50.77 / $76.20 / $226.57	Professional		$50.77	$76.20	$226.57