Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $173.78	Professional		$144.54	$144.54	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $169.82 / $218.78	Facility		$138.04	$169.82	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $147.91	Professional		$144.54	$144.54	$147.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $229.09	Professional		$154.88	$181.97	$229.09
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 $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $181.97	Professional		$125.89	$134.90	$181.97