Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $158.49	Professional		$112.20	$112.20	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $131.83 / $169.82	Facility		$107.15	$131.83	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $123.03	Professional		$112.20	$112.20	$123.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $707.95 / $831.76	Professional		$154.88	$707.95	$831.76
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $11,481.54 / $25,118.86	Facility		$194.98	$11,481.54	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $812.83	Professional		$125.89	$177.83	$812.83