Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $123.03 / $275.42	Facility		$104.71	$123.03	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $134.90	Professional		$81.28	$81.28	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $81.28 / $102.33	Facility		$77.62	$81.28	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $234.42 / $269.15	Professional		$223.87	$234.42	$269.15
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $9,549.93 / $25,118.86	Facility		$128.82	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $74.13	Professional		$61.66	$61.66	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $109.65 / $169.82	Facility		$63.10	$109.65	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $95.50	Professional		$61.66	$81.28	$95.50