Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $282.22 / $569.71	Facility		$217.09	$282.22	$569.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $236.63	Professional		$217.09	$217.09	$236.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $232.82 / $301.29	Facility		$217.09	$232.82	$301.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $225.28	Professional		$217.09	$217.09	$225.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $209.70 / $209.70 / $264.85	Professional		$209.70	$209.70	$264.85
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $361.67 / $470.43 / $13,785.00	Facility		$361.67	$470.43	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.46 / $207.50 / $209.70	Professional		$193.46	$207.50	$209.70
United Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $229.38 / $251.88	Professional		$217.09	$229.38	$251.88