Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.26 / $827.49 / $1,744.44	Professional		$645.26	$827.49	$1,744.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.70 / $396.70 / $396.70	Facility		$396.70	$396.70	$396.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.20 / $396.70 / $2,077.50	Professional		$337.20	$396.70	$2,077.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,422.50 / $2,422.50 / $2,422.50	Professional		$2,422.50	$2,422.50	$2,422.50
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $1,401.28 / $1,401.28	Professional		$87.07	$1,401.28	$1,401.28
United Facility/Professional Professional Modifier Low / Median / High Price $720.95 / $1,032.81 / $1,214.64	Professional		$720.95	$1,032.81	$1,214.64