Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $74.13	Professional		$19.05	$23.99	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.88 / $47.86	Professional		$28.84	$33.88	$47.86
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $13,803.84 / $19,498.45	Facility		$138.04	$13,803.84	$19,498.45
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $38.02	Professional		$16.98	$19.95	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $19.95 / $37.15	Professional		$11.75	$19.95	$37.15