Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $167.56 / $373.27	Facility		$136.66	$167.56	$373.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $160.75	Professional		$136.66	$136.66	$160.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $138.29 / $178.96	Facility		$136.66	$138.29	$178.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $141.82	Professional		$136.66	$136.66	$141.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.82 / $148.27 / $166.74	Professional		$141.82	$148.27	$166.74
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.69 / $295.20 / $13,785.00	Facility		$227.69	$295.20	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $131.86 / $134.84	Professional		$128.72	$131.86	$134.84
United Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $144.41 / $158.97	Professional		$136.66	$144.41	$158.97