Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $123.03 / $151.36	Professional		$120.23	$123.03	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $128.82 / $141.25	Facility		$107.15	$128.82	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $229.09	Professional		$107.15	$134.90	$229.09
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $9,549.93 / $25,118.86	Facility		$125.89	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $151.36	Professional		$125.89	$147.91	$151.36