Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.40 / $101.66 / $200.69	Facility		$52.40	$101.66	$200.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.07 / $43.54 / $52.40	Professional		$32.07	$43.54	$52.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.80 / $255.56 / $508.74	Facility		$246.80	$255.56	$508.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $51.70 / $55.84	Professional		$51.70	$51.70	$55.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.13 / $48.13 / $48.13	Professional		$48.13	$48.13	$48.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.52 / $258.52 / $525.08	Facility		$215.52	$258.52	$525.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $47.13 / $73.95	Professional		$36.75	$47.13	$73.95
United Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $49.62 / $84.04	Professional		$25.36	$49.62	$84.04