Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.47 / $424.47 / $424.47	Facility		$424.47	$424.47	$424.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.57 / $414.49 / $424.47	Professional		$344.57	$414.49	$424.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.80 / $424.47 / $466.92	Facility		$360.80	$424.47	$466.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $424.47 / $424.47	Professional		$424.47	$424.47	$424.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $424.47 / $424.47	Professional		$360.80	$424.47	$424.47
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 $424.47 / $424.47 / $424.47	Professional		$424.47	$424.47	$424.47
United Facility/Professional Professional Modifier Low / Median / High Price $499.42 / $499.42 / $526.89	Professional		$499.42	$499.42	$526.89