Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.00 / $394.00 / $394.00	Facility		$394.00	$394.00	$394.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.00 / $470.11 / $578.46	Professional		$394.00	$470.11	$578.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.51 / $632.51 / $1,157.34	Facility		$632.51	$632.51	$1,157.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.73 / $461.73 / $1,013.41	Professional		$461.73	$461.73	$1,013.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,057.33 / $1,064.76 / $1,516.13	Professional		$1,057.33	$1,064.76	$1,516.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,130.22 / $1,157.34 / $1,157.34	Professional		$1,130.22	$1,157.34	$1,157.34
United Facility/Professional Professional Modifier Low / Median / High Price $417.12 / $577.39 / $1,157.34	Professional		$417.12	$577.39	$1,157.34