Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.55 / $30.55 / $30.55	Facility		$30.55	$30.55	$30.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $44.07 / $56.13	Professional		$30.55	$44.07	$56.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $53.85 / $86.18	Facility		$53.85	$53.85	$86.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $75.45	Professional		$39.31	$39.31	$75.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $79.29 / $112.90	Professional		$78.73	$79.29	$112.90
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $1,080.00 / $1,641.00	Facility		$1,080.00	$1,080.00	$1,641.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.03 / $86.18 / $86.18	Professional		$82.03	$86.18	$86.18
United Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $46.16 / $81.62	Professional		$38.70	$46.16	$81.62