Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Facility		$172.40	$172.40	$172.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.94 / $168.34 / $172.40	Professional		$139.94	$168.34	$172.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.13 / $172.40 / $198.19	Facility		$153.13	$172.40	$198.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Professional		$172.40	$172.40	$172.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $172.47 / $172.47 / $172.47	Professional		$172.47	$172.47	$172.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.41 / $631.01 / $13,785.00	Facility		$168.41	$631.01	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.38 / $172.47 / $172.47	Professional		$159.38	$172.47	$172.47
United Facility/Professional Facility Modifier Low / Median / High Price $206.25 / $206.25 / $206.25	Facility		$206.25	$206.25	$206.25
United Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $202.82 / $212.96	Professional		$202.82	$202.82	$212.96