Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $151.36 / $691.83	Facility		$147.91	$151.36	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $114.82	Professional		$67.61	$91.20	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $251.19 / $524.81	Facility		$131.83	$251.19	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $245.47	Professional		$120.23	$154.88	$245.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $9,332.54 / $25,118.86	Facility		$114.82	$9,332.54	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $117.49	Professional		$91.20	$109.65	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $114.82 / $234.42	Facility		$53.70	$114.82	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $69.18 / $120.23	Professional		$45.71	$69.18	$120.23