Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $281.76 / $593.87	Facility		$216.90	$281.76	$593.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $238.59	Professional		$216.90	$216.90	$238.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $221.25 / $286.32	Facility		$216.90	$221.25	$286.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $225.09	Professional		$216.90	$216.90	$225.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $264.63	Professional		$216.90	$216.90	$264.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $430.76 / $13,785.00	Facility		$212.00	$430.76	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.94 / $211.99 / $216.74	Professional		$195.94	$211.99	$216.74
United Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $227.75 / $254.90	Professional		$216.90	$227.75	$254.90