Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.88 / $605.65 / $1,192.07	Professional		$440.88	$605.65	$1,192.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $200.00 / $1,590.00	Professional		$170.00	$200.00	$1,590.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,083.80 / $1,083.80 / $1,083.80	Professional		$1,083.80	$1,083.80	$1,083.80
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $957.52 / $957.52 / $957.52	Professional		$957.52	$957.52	$957.52
United Facility/Professional Professional Modifier Low / Median / High Price $507.10 / $697.85 / $1,325.59	Professional		$507.10	$697.85	$1,325.59