Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.96 / $1,014.24 / $4,129.47	Facility		$188.96	$1,014.24	$4,129.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $66.09 / $191.83	Professional		$22.14	$66.09	$191.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $60.57 / $129.32	Professional		$19.70	$60.57	$129.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.47 / $138.90 / $151.29	Professional		$102.47	$138.90	$151.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $442.74 / $857.38 / $1,047.55	Facility		$442.74	$857.38	$1,047.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $96.15 / $157.25	Professional		$72.90	$96.15	$157.25
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 $57.73 / $84.84 / $115.30	Professional		$57.73	$84.84	$115.30