Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $741.31	Professional		$549.54	$549.54	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $645.65 / $831.76	Facility		$524.81	$645.65	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $602.56	Professional		$549.54	$549.54	$602.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $1,122.02 / $1,318.26	Professional		$154.88	$1,122.02	$1,318.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $11,481.54 / $25,118.86	Facility		$562.34	$11,481.54	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $2,398.83 / $2,818.38	Professional		$125.89	$2,398.83	$2,818.38