Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.61 / $312.02 / $500.88	Facility		$204.61	$312.02	$500.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $204.61 / $206.66	Professional		$204.61	$204.61	$206.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.40 / $234.12 / $302.97	Facility		$198.40	$234.12	$302.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $204.61 / $209.10	Professional		$204.61	$204.61	$209.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $177.59 / $200.06 / $235.37	Professional		$177.59	$200.06	$235.37
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.24 / $444.84 / $13,785.00	Facility		$205.24	$444.84	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $205.28 / $213.37	Professional		$205.28	$205.28	$213.37
United Facility/Professional Facility Modifier Low / Median / High Price $200.07 / $200.07 / $200.07	Facility		$200.07	$200.07	$200.07
United Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $204.61 / $235.44	Professional		$81.84	$204.61	$235.44