Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $109.89 / $267.12	Facility		$84.57	$109.89	$267.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $93.03	Professional		$84.57	$84.57	$93.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $122.37 / $158.36	Facility		$84.57	$122.37	$158.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $87.76	Professional		$84.57	$84.57	$87.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.93 / $81.93 / $103.18	Professional		$81.93	$81.93	$103.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.63 / $183.18 / $13,785.00	Facility		$117.63	$183.18	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.04 / $112.95 / $113.12	Professional		$104.04	$112.95	$113.12
United Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $89.36 / $98.61	Professional		$84.57	$89.36	$98.61