Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $213.80 / $478.63	Facility		$208.93	$213.80	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $70.79 / $85.11	Professional		$48.98	$70.79	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $165.96	Facility		$138.04	$138.04	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $64.57 / $77.62	Professional		$45.71	$64.57	$77.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $257.04 / $588.84	Facility		$131.83	$257.04	$588.84
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $154.88	Professional		$61.66	$87.10	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $91.20 / $169.82	Facility		$77.62	$91.20	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $77.62 / $131.83	Professional		$40.74	$77.62	$131.83