Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,659.59	Professional		$851.14	$1,023.29	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,570.40	Facility		$1,288.25	$1,288.25	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,288.25	Professional		$933.25	$933.25	$1,288.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,691.53 / $3,715.35	Professional		$1,659.59	$2,691.53	$3,715.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,318.26 / $2,570.40	Facility		$707.95	$1,318.26	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,949.84	Professional		$933.25	$1,258.93	$1,949.84