Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.12 / $656.12 / $656.12	Facility		$656.12	$656.12	$656.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $662.69	Professional		$656.12	$656.12	$662.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.51 / $251.71 / $656.12	Facility		$194.51	$251.71	$656.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $680.88	Professional		$656.12	$656.12	$680.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $649.92 / $656.12 / $928.47	Professional		$649.92	$656.12	$928.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,030.14 / $13,785.00 / $13,785.00	Facility		$1,030.14	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.53 / $1,149.16 / $1,417.77	Professional		$104.53	$1,149.16	$1,417.77
United Facility/Professional Professional Modifier Low / Median / High Price $638.01 / $656.12 / $721.73	Professional		$638.01	$656.12	$721.73