Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.72 / $47.72 / $47.72	Facility		$47.72	$47.72	$47.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $50.85 / $107.27	Professional		$47.72	$50.85	$107.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.89 / $92.35 / $251.12	Facility		$76.89	$92.35	$251.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $138.97 / $306.70	Professional		$97.70	$138.97	$306.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.34 / $140.44 / $274.93	Professional		$100.34	$140.44	$274.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.41 / $702.24 / $1,581.13	Facility		$588.41	$702.24	$1,581.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.15 / $88.66 / $144.08	Professional		$68.15	$88.66	$144.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $91.89 / $168.42	Professional		$50.75	$91.89	$168.42