Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.49 / $63.49 / $63.49	Facility		$63.49	$63.49	$63.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.49 / $85.43 / $101.86	Professional		$63.49	$85.43	$101.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $120.06 / $186.50	Facility		$120.06	$120.06	$186.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $87.64 / $163.30	Professional		$87.64	$87.64	$163.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $170.38 / $171.58 / $244.32	Professional		$170.38	$171.58	$244.32
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $1,641.00 / $3,111.00	Facility		$1,080.00	$1,641.00	$3,111.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.13 / $186.50 / $186.50	Professional		$182.13	$186.50	$186.50
United Facility/Professional Professional Modifier Low / Median / High Price $76.83 / $93.04 / $176.54	Professional		$76.83	$93.04	$176.54