Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $288.40 / $288.40	Facility		$134.90	$288.40	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $331.13	Professional		$117.49	$151.36	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $891.25 / $1,071.52	Facility		$758.58	$891.25	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $154.88 / $295.12	Professional		$79.43	$154.88	$295.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $234.42	Professional		$158.49	$213.80	$234.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,288.25 / $2,041.74	Facility		$831.76	$1,288.25	$2,041.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $281.84	Professional		$125.89	$173.78	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,412.54 / $1,698.24	Facility		$776.25	$1,412.54	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $138.04 / $263.03	Professional		$64.57	$138.04	$263.03