Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.21 / $170.56 / $324.49	Facility		$139.21	$170.56	$324.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $153.13	Professional		$139.21	$139.21	$153.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.31 / $139.21 / $179.76	Facility		$124.31	$139.21	$179.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $144.47	Professional		$139.21	$139.21	$144.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.46 / $144.47 / $169.84	Professional		$144.46	$144.47	$169.84
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.58 / $7,628.00 / $13,785.00	Facility		$239.58	$7,628.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.31 / $136.21 / $138.66	Professional		$132.31	$136.21	$138.66
United Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $147.09 / $161.12	Professional		$139.21	$147.09	$161.12