Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $147.91 / $676.08	Facility		$144.54	$147.91	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $147.91	Professional		$61.66	$89.13	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $245.47 / $263.03	Facility		$109.65	$245.47	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $128.82 / $169.82	Professional		$58.88	$128.82	$169.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $52.48 / $66.07	Professional		$44.67	$52.48	$66.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $10,471.29 / $25,703.96	Facility		$112.20	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $100.00	Professional		$67.61	$89.13	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $112.20 / $229.09	Facility		$52.48	$112.20	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $114.82	Professional		$44.67	$67.61	$114.82