Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $76.09	Facility		$76.09	$76.09	$76.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $76.84	Professional		$76.09	$76.09	$76.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $199.34 / $257.97	Facility		$76.09	$199.34	$257.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $86.14	Professional		$76.09	$76.09	$86.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $71.78 / $76.09 / $112.87	Professional		$71.78	$76.09	$112.87
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 $86.35 / $112.67 / $172.25	Professional		$86.35	$112.67	$172.25
United Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $76.09 / $83.70	Professional		$73.98	$76.09	$83.70