Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.61 / $367.16 / $688.93	Facility		$243.61	$367.16	$688.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $246.04	Professional		$243.61	$243.61	$246.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.54 / $256.85 / $332.40	Facility		$238.54	$256.85	$332.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $243.61	Professional		$243.61	$243.61	$243.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $211.43 / $238.54 / $264.29	Professional		$211.43	$238.54	$264.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.77 / $526.91 / $13,785.00	Facility		$235.77	$526.91	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.77 / $243.15 / $247.09	Professional		$235.77	$243.15	$247.09
United Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $243.61 / $280.63	Professional		$97.44	$243.61	$280.63