Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.17 / $798.78 / $1,500.40	Professional		$586.17	$798.78	$1,500.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $504.00 / $504.00	Facility		$504.00	$504.00	$504.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.40 / $504.00 / $2,081.25	Professional		$428.40	$504.00	$2,081.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,668.95 / $1,668.95 / $1,668.95	Professional		$1,668.95	$1,668.95	$1,668.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.43 / $1,196.00 / $1,196.00	Professional		$129.43	$1,196.00	$1,196.00
United Facility/Professional Professional Modifier Low / Median / High Price $807.30 / $1,055.95 / $1,680.54	Professional		$807.30	$1,055.95	$1,680.54