Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.30 / $102.30 / $376.94	Facility		$102.30	$102.30	$376.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.30 / $122.82 / $178.87	Professional		$102.30	$122.82	$178.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.04 / $80.08 / $214.46	Facility		$63.04	$80.08	$214.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.57 / $171.64 / $319.94	Professional		$90.57	$171.64	$319.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $150.59 / $195.75 / $253.76	Professional		$150.59	$195.75	$253.76
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.40 / $380.40 / $824.88	Facility		$380.40	$380.40	$824.88
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.58 / $111.06 / $174.74	Professional		$73.58	$111.06	$174.74
United Facility/Professional Professional Modifier Low / Median / High Price $79.67 / $145.74 / $267.24	Professional		$79.67	$145.74	$267.24