Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.20 / $213.20 / $213.20	Facility		$213.20	$213.20	$213.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.20 / $227.58 / $279.14	Professional		$213.20	$227.58	$279.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.54 / $274.54 / $580.16	Facility		$274.54	$274.54	$580.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $559.13	Professional		$200.41	$200.41	$559.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $530.02 / $533.75 / $760.01	Professional		$530.02	$533.75	$760.01
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 $552.21 / $580.16 / $580.16	Professional		$552.21	$580.16	$580.16
United Facility/Professional Professional Modifier Low / Median / High Price $254.24 / $289.43 / $532.62	Professional		$254.24	$289.43	$532.62