Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.28 / $767.28 / $767.28	Facility		$767.28	$767.28	$767.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.28 / $1,062.35 / $1,551.61	Professional		$767.28	$1,062.35	$1,551.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,272.41 / $1,606.19 / $2,087.90	Facility		$1,272.41	$1,606.19	$2,087.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.52 / $1,172.52 / $1,828.24	Professional		$1,172.52	$1,172.52	$1,828.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,907.45 / $1,920.87 / $2,735.15	Professional		$1,907.45	$1,920.87	$2,735.15
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,038.96 / $2,087.90 / $2,087.90	Professional		$2,038.96	$2,087.90	$2,087.90
United Facility/Professional Professional Modifier Low / Median / High Price $963.07 / $1,186.81 / $2,087.90	Professional		$963.07	$1,186.81	$2,087.90