Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $199.53 / $891.25	Facility		$190.55	$199.53	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $151.36	Professional		$89.13	$120.23	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $331.13 / $691.83	Facility		$173.78	$331.13	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $323.59	Professional		$158.49	$194.98	$323.59
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $9,772.37 / $25,118.86	Facility		$138.04	$9,772.37	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $151.36	Professional		$120.23	$131.83	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $158.49	Professional		$60.26	$89.13	$158.49