Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Facility		$70.70	$70.70	$70.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $71.40	Professional		$70.70	$70.70	$71.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $208.80 / $270.22	Facility		$70.70	$208.80	$270.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $80.03	Professional		$70.70	$70.70	$80.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $70.70 / $104.87	Professional		$70.02	$70.70	$104.87
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.53 / $121.63 / $149.29	Professional		$73.53	$121.63	$149.29
United Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $76.44	Professional		$70.70	$70.70	$76.44