Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.33 / $91.33 / $91.33	Facility		$91.33	$91.33	$91.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.23 / $111.58 / $815.49	Professional		$63.23	$111.58	$815.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.72 / $630.72 / $630.72	Professional		$630.72	$630.72	$630.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $259.29 / $345.28 / $1,175.42	Professional		$259.29	$345.28	$1,175.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,588.91 / $4,447.22 / $7,893.03	Facility		$3,588.91	$4,447.22	$7,893.03
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.64 / $199.58 / $206.65	Professional		$169.64	$199.58	$206.65
United Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $222.67 / $681.95	Professional		$54.68	$222.67	$681.95