Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $112.20 / $245.47	Facility		$95.50	$112.20	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $100.00	Professional		$72.44	$74.13	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $87.10 / $112.20	Facility		$74.13	$87.10	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $79.43 / $91.20	Professional		$75.86	$79.43	$91.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $10,471.29 / $25,118.86	Facility		$147.91	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $74.13	Professional		$70.79	$70.79	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $85.11 / $117.49	Facility		$58.88	$85.11	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $83.18	Professional		$70.79	$74.13	$83.18