Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $141.25 / $645.65	Facility		$138.04	$141.25	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $100.00	Professional		$64.57	$85.11	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $234.42 / $489.78	Facility		$123.03	$234.42	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $234.42	Professional		$112.20	$141.25	$234.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $9,549.93 / $25,118.86	Facility		$107.15	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $95.50 / $109.65	Professional		$85.11	$95.50	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $107.15 / $218.78	Facility		$50.12	$107.15	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $64.57 / $112.20	Professional		$42.66	$64.57	$112.20