Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.33 / $1,058.08 / $1,895.99	Professional		$701.33	$1,058.08	$1,895.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $975.26 / $975.26 / $975.26	Facility		$975.26	$975.26	$975.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $828.97 / $975.26 / $2,655.00	Professional		$828.97	$975.26	$2,655.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,796.13 / $3,796.13 / $3,796.13	Professional		$3,796.13	$3,796.13	$3,796.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,523.04 / $1,523.04 / $1,523.04	Professional		$1,523.04	$1,523.04	$1,523.04
United Facility/Professional Professional Modifier Low / Median / High Price $880.12 / $1,090.79 / $1,538.96	Professional		$880.12	$1,090.79	$1,538.96