Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $151.36	Professional		$141.25	$147.91	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $165.96 / $213.80	Facility		$151.36	$165.96	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $229.09	Professional		$128.82	$151.36	$229.09
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $6,309.57 / $14,454.40	Facility		$147.91	$6,309.57	$14,454.40
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $169.82	Professional		$125.89	$154.88	$169.82